Healthcare Provider Details

I. General information

NPI: 1306776331
Provider Name (Legal Business Name): BRYANT CALDERON TORRES BCBA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/21/2026
Last Update Date: 05/21/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2001 22ND ST
BAKERSFIELD CA
93301-3831
US

IV. Provider business mailing address

4305 CHADBOURN ST
BAKERSFIELD CA
93307-4713
US

V. Phone/Fax

Practice location:
  • Phone: 661-447-0470
  • Fax:
Mailing address:
  • Phone: 661-447-0470
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-26-89930
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: