MEDICARE: IDANIA GARCIA BARRIOS

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	104100000X	Social Worker
2	103K00000X	Behavior Analyst	1-26-87923	FL
3	106S00000X	Behavior Technician	RBT-22-246702	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1578819090
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	IDANIA GARCIA BARRIOS

Provider Business Mailing Address
First Line	:	7411 W 22ND AVE APT 103
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33016-6881
Country	:	US
Telephone Number	:	786-606-0446
Fax Number	:

Provider Business Practice Location Address
First Line	:	7411 W 22ND AVE APT 103
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33016-6881
Country	:	US
Telephone Number	:	786-606-0446
Fax Number	:

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

Provider Enumeration Date	:	08/02/2012
Last Update Date	:	02/24/2026

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Directions to “ IDANIA GARCIA BARRIOS ” Practice Location

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