Provider Demographics
NPI:1902342082
Name:GARCIA, MARIA (MED, BCBA, LBA)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:
Last Name:GARCIA
Suffix:
Gender:F
Credentials:MED, BCBA, LBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9019 WASHINGTON ST NE STE A
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87113-2435
Mailing Address - Country:US
Mailing Address - Phone:505-856-6880
Mailing Address - Fax:800-417-4705
Practice Address - Street 1:9019 WASHINGTON ST NE STE A
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87113-2435
Practice Address - Country:US
Practice Address - Phone:505-856-6880
Practice Address - Fax:800-417-4705
Is Sole Proprietor?:No
Enumeration Date:2017-01-12
Last Update Date:2020-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1-18-34279103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst