MEDICARE: MARLENE MAGGIE GARCIA

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	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1598341380
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARLENE MAGGIE GARCIA

Provider Business Mailing Address
First Line	:	16605 SHERMAN WAY
Second Line	:
City	:	VAN NUYS
State	:	CA
Zip	:	91406-3735
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2101 N GLENOAKS BLVD
Second Line	:
City	:	BURBANK
State	:	CA
Zip	:	91504-2828
Country	:	US
Telephone Number	:	323-470-3914
Fax Number	:

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

Provider Enumeration Date	:	03/22/2021
Last Update Date	:	02/19/2026

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Directions to “ MARLENE MAGGIE GARCIA ” Practice Location

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