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NPI Code Detail

MEDICARE: DIANA TORRES RBT

MEDICARE: DIANA TORRES RBT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1770246886
Entity Type Code : Individual
Provider Name (Legal Business Name) : DIANA TORRES RBT
Provider Business Mailing Address
First Line : 1887 RICHMOND AVE
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10314-3939
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1887 RICHMOND AVE
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10314-3939
Country : US
Telephone Number : 718-698-1300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/15/2021
Last Update Date : 10/15/2021

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Directions to “ DIANA TORRES RBT” Practice Location

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