Provider Information

Last Updated : Nov 22 2024 3:48 PM

Ryanne A Garza




City
Fresno
Group
HEALTH NET DIRECT FFS MEDI-CAL
Specialty
Qualified Autism Svc Provider
Last Name
Garza
First Name
Ryanne
Middle Name
A
Address
125 E Barstow Ave Ste 135
State
CA
Zip Code
93710
Phone
(559)930-2720
Hours
Mon - Fri 7:00 AM - 7:00 PM Sat 7:00 AM - 1:00 PM
Gender
F
Title
BCBA
Physician ID
225311
Section Number
A
County
FRESNO
Accepting New Patient
Yes
PPG NAME
HEALTH NET DIRECT FFS MEDI-CAL
PPG ID
MHDML
NPI Number
1730574955
Access Requirement
Limited
PARKING_IND
P
EXT_BUILD_IND
EB
INT_BUILD_IND
IB
RESTROOM_IND
R
License ID
BCB17956
Email
opat@stanfordmedicalbilling.com
Board Certified
No
Self Access Flag
Self Reported Data
Panel Status
Available by referral only
PHY CCT IND
N

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