Provider Demographics
NPI:1871361279
Name:GARCIA, ANELI
Entity type:Individual
Prefix:
First Name:ANELI
Middle Name:
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 1:132 GLYNBROOK ST N
Mailing Address - Street 2:
Mailing Address - City:KEIZER
Mailing Address - State:OR
Mailing Address - Zip Code:97303-5796
Mailing Address - Country:US
Mailing Address - Phone:971-227-9808
Mailing Address - Fax:971-301-6353
Practice Address - Street 1:132 GLYNBROOK ST N
Practice Address - Street 2:
Practice Address - City:KEIZER
Practice Address - State:OR
Practice Address - Zip Code:97303-5796
Practice Address - Country:US
Practice Address - Phone:971-227-9808
Practice Address - Fax:971-301-6353
Is Sole Proprietor?:No
Enumeration Date:2023-12-14
Last Update Date:2024-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician