Provider Demographics
NPI:1760270235
Name:GARIBAY, IRMA LETICIA
Entity type:Individual
Prefix:
First Name:IRMA
Middle Name:LETICIA
Last Name:GARIBAY
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:IRMA
Other - Middle Name:LETICIA
Other - Last Name:LEYVA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7009 RED MAN DR
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79934-3433
Mailing Address - Country:US
Mailing Address - Phone:915-269-1357
Mailing Address - Fax:
Practice Address - Street 1:7009 RED MAN DR
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79934-3433
Practice Address - Country:US
Practice Address - Phone:915-269-1357
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-25
Last Update Date:2025-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior Analyst