Healthcare Provider Details

I. General information

NPI: 1225709751
Provider Name (Legal Business Name): JUAN F TORO BCBA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/23/2021
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17455 NW 75TH PL APT 210
HIALEAH FL
33015-7138
US

IV. Provider business mailing address

17455 NW 75TH PL APT 210
HIALEAH FL
33015-7138
US

V. Phone/Fax

Practice location:
  • Phone: 305-305-6747
  • Fax:
Mailing address:
  • Phone: 305-305-6747
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-21-51908
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: