Provider Demographics
NPI:1104708833
Name:GARCIA GARCIA, ANDY
Entity type:Individual
Prefix:
First Name:ANDY
Middle Name:
Last Name:GARCIA GARCIA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:222 NE 24TH AVE
Mailing Address - Street 2:
Mailing Address - City:CAPE CORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33909-2809
Mailing Address - Country:US
Mailing Address - Phone:239-265-5733
Mailing Address - Fax:
Practice Address - Street 1:222 NE 24TH AVE
Practice Address - Street 2:
Practice Address - City:CAPE CORAL
Practice Address - State:FL
Practice Address - Zip Code:33909-2809
Practice Address - Country:US
Practice Address - Phone:239-265-5733
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-23
Last Update Date:2025-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician