Provider Demographics
NPI:1992693931
Name:GARCIA, MARIANA (BT)
Entity type:Individual
Prefix:MS
First Name:MARIANA
Middle Name:
Last Name:GARCIA
Suffix:
Gender:F
Credentials:BT
Other - Prefix:MS
Other - First Name:MARIANA
Other - Middle Name:
Other - Last Name:GARCIA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:BT
Mailing Address - Street 1:1290 SPICESTONE DR
Mailing Address - Street 2:
Mailing Address - City:HEMET
Mailing Address - State:CA
Mailing Address - Zip Code:92545-6114
Mailing Address - Country:US
Mailing Address - Phone:714-420-8676
Mailing Address - Fax:
Practice Address - Street 1:27555 YNEZ RD STE 300
Practice Address - Street 2:
Practice Address - City:TEMECULA
Practice Address - State:CA
Practice Address - Zip Code:92591-4678
Practice Address - Country:US
Practice Address - Phone:951-466-3196
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-26
Last Update Date:2025-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician