Provider Demographics
NPI:1083447122
Name:GARNER, ALIZE Y
Entity type:Individual
Prefix:
First Name:ALIZE
Middle Name:Y
Last Name:GARNER
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 1:364 WILLIAMSON ST APT A4
Mailing Address - Street 2:
Mailing Address - City:ELIZABETH
Mailing Address - State:NJ
Mailing Address - Zip Code:07202-3651
Mailing Address - Country:US
Mailing Address - Phone:908-906-1639
Mailing Address - Fax:
Practice Address - Street 1:364 WILLIAMSON ST APT A4
Practice Address - Street 2:
Practice Address - City:ELIZABETH
Practice Address - State:NJ
Practice Address - Zip Code:07202-3651
Practice Address - Country:US
Practice Address - Phone:908-906-1639
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-23
Last Update Date:2024-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior Analyst