Provider Demographics
NPI:1104539642
Name:GARCIA MACHADO, ANA FLAVIA (RBT)
Entity type:Individual
Prefix:
First Name:ANA
Middle Name:FLAVIA
Last Name:GARCIA MACHADO
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1441 SW 26TH AVE APT E
Mailing Address - Street 2:
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33426-8050
Mailing Address - Country:US
Mailing Address - Phone:862-268-6797
Mailing Address - Fax:
Practice Address - Street 1:515 N FLAGLER DR STE P300
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33401-4326
Practice Address - Country:US
Practice Address - Phone:561-722-9107
Practice Address - Fax:561-448-6063
Is Sole Proprietor?:Yes
Enumeration Date:2022-12-29
Last Update Date:2023-12-13
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician