Michelle Garcia

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

CB61266339 Issued in WA

Practice address

1950 Pottery Ave Ste 124
Port Orchard, WA 98366-2501

Phone

(360) 670-0113

NPI assigned

Jul 15, 2022

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Alta Vista Integrated Life Services

  • Clinical Social Worker
  • Gig Harbor, WA
  • NPI 1538726252
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1657843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657843200000",
    "number": "1215661012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7282 STINSON AVE STE B",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983354930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 POTTERY AVE STE 124",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "983662501",
            "telephone_number": "360-670-0113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-15",
        "last_updated": "2022-07-15",
        "certification_date": "2022-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "WA",
            "license": "CB61266339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Fujimoto
• Jessica Gallegos-White, ACUPUNCTURIST
• Olivia Claire Gallucci, RN
• Dawn Ewing Galvez, FNP-C
• Abigail Angeles Gantuangco
• Brittany Garner
• Destanie Tanay Garrett
• Karlie Ann Gaskins, DDS
• Faye Victoria Gazabat, BCBA, LBA
• Joyce Gearhart

• Behavior Technician in Port Orchard, WA
• Providers in Port Orchard, WA by specialty
• Behavior Technician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.