Provider Demographics
NPI:1346063641
Name:GARCIA, OLGA BEATRIZ
Entity type:Individual
Prefix:
First Name:OLGA
Middle Name:BEATRIZ
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 1:501 SW 1ST ST APT 602
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33130-1389
Mailing Address - Country:US
Mailing Address - Phone:786-252-0444
Mailing Address - Fax:
Practice Address - Street 1:501 SW 1ST ST APT 602
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33130-1389
Practice Address - Country:US
Practice Address - Phone:786-252-0444
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-05
Last Update Date:2024-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLBACB1202963106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician