Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 106S00000X | Behavior Technician | RBT-19-101633 | CA |
NPI | 1003427345 |
---|---|
Provider Name | Steven A Torres |
First Address | Corona, CA 92879-1387 |
Second Address | Corona, CA 92879-1387 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/08/2020 |
Last Update Date | 11/08/2020 |