Healthcare Provider Details

I. General information

NPI: 1124696455
Provider Name (Legal Business Name): DENISSE MARTINEZ TORRES RBT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/14/2021
Last Update Date: 03/18/2026
Certification Date: 03/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2212 OASIS PALM CIR APT 202
CAPE CORAL FL
33991-3753
US

IV. Provider business mailing address

2212 OASIS PALM CIR APT 202
CAPE CORAL FL
33991-3753
US

V. Phone/Fax

Practice location:
  • Phone: 786-707-7490
  • Fax:
Mailing address:
  • Phone: 786-707-7490
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT21-170446
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: