Provider Demographics
NPI:1861380248
Name:GARCIA MURGA, AYLENIS
Entity type:Individual
Prefix:
First Name:AYLENIS
Middle Name:
Last Name:GARCIA MURGA
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 1:6044 BENT PINE DR APT 3336
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32822-6853
Mailing Address - Country:US
Mailing Address - Phone:863-800-2185
Mailing Address - Fax:
Practice Address - Street 1:6044 BENT PINE DR APT 3336
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32822-6853
Practice Address - Country:US
Practice Address - Phone:863-800-2185
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-25
Last Update Date:2025-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-25-428963106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician