Sebastian Garcia, MS, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-19-34447 Issued in IL

Practice address

402 E Plaza Dr
Carterville, IL 62918-2090

Phone

(618) 319-6060

Fax

(618) 681-6824

NPI assigned

Apr 11, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Sebastian Garcia-Zambrano Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1649635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649635200000",
    "number": "1972245868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 W MAIN ST",
            "city": "WEST FRANKFORT",
            "state": "IL",
            "postal_code": "628962210",
            "telephone_number": "618-937-6483",
            "fax_number": "618-937-1440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 E PLAZA DR",
            "city": "CARTERVILLE",
            "state": "IL",
            "postal_code": "629182090",
            "telephone_number": "618-319-6060",
            "fax_number": "618-681-6824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "SEBASTIAN",
        "credential": "MS, BCBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-04-11",
        "last_updated": "2022-04-11",
        "certification_date": "2022-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "IL",
            "license": "1-19-34447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SEBASTIAN",
            "last_name": "GARCIA-ZAMBRANO",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Sarah Faulkner
• Bridget Foy, MA, LPC
• Susan Elain Frease, LCSW
• Trisha Fuller, LCSW
• Morgan A Gant, APN
• Taylor Glidewell, PHARMD
• Miranda Gress, BA
• Heather Gunter, AA
• H&S Pharmacies, LLC
• H&S Pharmacies, LLC

• Behavior Analyst in Carterville, IL
• Providers in Carterville, IL by specialty
• Behavior Analyst in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 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.