MEDICARE: VIOLETA MARION GARCIA HERNANDEZ

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106S00000X	Behavior Technician	BACB1088814	FL

General Provider Information

NPI Number	:	1477351856
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VIOLETA MARION GARCIA HERNANDEZ

Provider Business Mailing Address
First Line	:	4206 EASTGATE DR APT 1407
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32839-2845
Country	:	US
Telephone Number	:	786-320-2159
Fax Number	:

Provider Business Practice Location Address
First Line	:	4206 EASTGATE DR APT 1407
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32839-2845
Country	:	US
Telephone Number	:	786-320-2159
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/03/2025
Last Update Date	:	01/12/2026

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