Alyssa Garcia

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-22-236938 Issued in ID

Practice address

738 S Bridgeway PL Ste 150
Eagle, ID 83616-6953

Phone

(208) 210-4442

NPI assigned

Jun 5, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: agarcia@opalautism.com

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

• Autism Living Experience, LLC

  dba Opal Autism Centers

  • Behavior Analyst
  • Charlotte, NC
  • NPI 1437800604

  Behavior Technician

  NPD (past)

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

{
    "created_epoch": "1591315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673913600000",
    "number": "1609490655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "738 S BRIDGEWAY PL STE 150",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836166953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "738 S BRIDGEWAY PL STE 150",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836166953",
            "telephone_number": "208-210-4442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "ALYSSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-05",
        "last_updated": "2023-01-17",
        "certification_date": "2023-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CO",
            "license": "RBT-20-121897",
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "ID",
            "license": "RBT-22-236938",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1609490655",
            "state": "CO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Agarcia@opalautism.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email",
            "address_1": "738 S Bridgeway Pl Ste 150",
            "city": "Eagle",
            "state": "ID",
            "country_code": "US",
            "postal_code": "836166953",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kathryn Hinds Fuhriman, PA-C
• Full Disclosure Therapy
• Martin J Gabica, MD
• Julissa Gama
• Alicia Garber, LCPC, LCMHC, LPC
• Maria Garcia
• McKenzie Garner
• Gloria S Geleynse, M.ED., LCPC
• Megan Olivia Gibb
• Elizabeth Ann Giles-Ihling, M.A.

• Behavior Technician in Eagle, ID
• Providers in Eagle, ID by specialty
• Behavior Technician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2023; 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.