Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 106E00000X | Assistant Behavior Analyst |
NPI | 1124495270 |
---|---|
Provider Name | Adriana De La Torre |
First Address | Miramar, FL 33027-4638 |
Second Address | Stuart, FL 34997-6826 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/08/2015 |
Last Update Date | 06/02/2017 |