Provider Demographics
NPI:1578376315
Name:GARCIA, BARBARA SUDNEY
Entity type:Individual
Prefix:
First Name:BARBARA
Middle Name:SUDNEY
Last Name:GARCIA
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 1:3010 NW 164TH TER
Mailing Address - Street 2:
Mailing Address - City:MIAMI GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33054-6436
Mailing Address - Country:US
Mailing Address - Phone:786-622-3479
Mailing Address - Fax:
Practice Address - Street 1:14125 NW 80TH AVE STE 304
Practice Address - Street 2:
Practice Address - City:MIAMI LAKES
Practice Address - State:FL
Practice Address - Zip Code:33016-2351
Practice Address - Country:US
Practice Address - Phone:786-305-7222
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-27
Last Update Date:2025-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLBACB1226398106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician