Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 106E00000X | Assistant Behavior Analyst | 0-11-3997 | FL |
NPI | 1013291921 |
---|---|
Provider Name | Frances M Torres |
First Address | Orlando, FL 32803-4504 |
Second Address | Orlando, FL 32803-4504 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/10/2011 |
Last Update Date | 06/12/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
019544000 | (05) | FL |