Provider Demographics
NPI:1558117572
Name:GARCIA SARABIA, MANUEL ENRIQUE
Entity type:Individual
Prefix:MS
First Name:MANUEL
Middle Name:ENRIQUE
Last Name:GARCIA SARABIA
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:JAYDEN
Other - Middle Name:ANABELLA
Other - Last Name:GARCIA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1130 HURRICANE SHOALS RD NE STE 1800
Mailing Address - Street 2:
Mailing Address - City:LAWRENCEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30043-4849
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1130 HURRICANE SHOALS RD NE STE 1800
Practice Address - Street 2:
Practice Address - City:LAWRENCEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30043-4849
Practice Address - Country:US
Practice Address - Phone:470-740-0355
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-29
Last Update Date:2024-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician