Most Relevant Information
Provider Data
NPI Number: | 1003428921 |
Provider Name: | LISSETTE GARCIA RBT |
Entity Type: | Individual |
Taxonomy Code: | 106S00000X |
Specialty: | Behavior Technician |
License Number: | RBT-20-128996 |
Most Important Dates
Enumeration Date: | 08/21/2020 |
Last Updated: | 08/21/2020 |
Provider Practice Location
14740 SW 54TH TER
MIAMI
FL
331854062
Practice Location Phone/Fax
Phone: | 7862318698 |
Fax: |
Provider Mailing Location
14740 SW 54TH TER
MIAMI
FL
331854062
Provider Mailing Phone/Fax
Phone: | 7862318698 |
Fax: |