Look up the most recent NPI and PECOS records

Teresa A Garcia

Behavior Analyst

Behavioral Health & Social Service Providers

PECOS Enrollment

Based on the most recent information from CMS, provider Teresa A Garcia does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 6 days ago.

Profile Details

Provider ID
1265941348
Provider Type
Individual
Full Name
Garcia, Teresa A
Gender
Female

Sole Proprietor
Yes
Enumeration Date
9/21/2017
Last Updated
7/21/2022

Contact Information

Practice Location

12304 SW 105th Ln, Miami, FL 33186

(786) 444-4947

Unlisted Fax

Mailing Location

12304 SW 105th Ln, Miami, FL 33186-3627

(786) 444-4947

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 103K00000X Primary	Description Behavior Analyst Behavioral Health & Social Service Providers	License Unlisted Issuer Florida
Code 106S00000X	Description Behavior Technician Behavioral Health & Social Service Providers	License Unlisted Issuer Florida

Provider Identifiers

ID	Description	Issuer
ID 021247300	Description Medicaid	Issuer Unlisted Florida

Teresa A Garcia

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

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