MEDICARE: SUHEILY GARCIA ROLDAN MS, BCBA, LBA

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	2437	NC

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	:	1689275653
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SUHEILY GARCIA ROLDAN MS, BCBA, LBA

Provider Business Mailing Address
First Line	:	1944 WELLNESS BLVD
Second Line	:
City	:	MONROE
State	:	NC
Zip	:	28110
Country	:	US
Telephone Number	:	704-285-8487
Fax Number	:

Provider Business Practice Location Address
First Line	:	1944 WELLNESS BLVD
Second Line	:
City	:	MONROE
State	:	NC
Zip	:	28110
Country	:	US
Telephone Number	:	704-285-8487
Fax Number	:

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

Provider Enumeration Date	:	11/05/2020
Last Update Date	:	12/01/2025

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