Provider Demographics
NPI:1730904020
Name:GARCIA ALVAREZ, DIANELLA (RBT)
Entity type:Individual
Prefix:
First Name:DIANELLA
Middle Name:
Last Name:GARCIA ALVAREZ
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3858 12TH AVE SE
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34117-5538
Mailing Address - Country:US
Mailing Address - Phone:786-778-3264
Mailing Address - Fax:
Practice Address - Street 1:3858 12TH AVE SE
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34117-5538
Practice Address - Country:US
Practice Address - Phone:786-778-3264
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-20
Last Update Date:2025-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL24-392994106S00000X
106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician