Provider Demographics
NPI:1619839875
Name:GARCIA MORALES, IVON
Entity type:Individual
Prefix:
First Name:IVON
Middle Name:
Last Name:GARCIA MORALES
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 1:39022 BLUE JAY AVE
Mailing Address - Street 2:
Mailing Address - City:ZEPHYRHILLS
Mailing Address - State:FL
Mailing Address - Zip Code:33542-2201
Mailing Address - Country:US
Mailing Address - Phone:832-944-0785
Mailing Address - Fax:
Practice Address - Street 1:39022 BLUE JAY AVE
Practice Address - Street 2:
Practice Address - City:ZEPHYRHILLS
Practice Address - State:FL
Practice Address - Zip Code:33542-2201
Practice Address - Country:US
Practice Address - Phone:832-944-0785
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-11-25
Last Update Date:2025-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician