Provider Demographics
NPI:1801438445
Name:GARCIA, ANDREA MIER
Entity type:Individual
Prefix:
First Name:ANDREA
Middle Name:MIER
Last Name:GARCIA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1554 E SIENNA OAK CT
Mailing Address - Street 2:
Mailing Address - City:SANDY
Mailing Address - State:UT
Mailing Address - Zip Code:84092-4604
Mailing Address - Country:US
Mailing Address - Phone:619-861-6262
Mailing Address - Fax:
Practice Address - Street 1:180 N UNIVERSITY AVE STE 270
Practice Address - Street 2:
Practice Address - City:PROVO
Practice Address - State:UT
Practice Address - Zip Code:84601-5648
Practice Address - Country:US
Practice Address - Phone:818-641-6780
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-15
Last Update Date:2019-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician