Healthcare Provider Details

I. General information

NPI: 1326406752
Provider Name (Legal Business Name): ANDREW TORRES BCBA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/30/2016
Last Update Date: 01/27/2025
Certification Date: 01/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4510 SALT LAKE BLVD STE D8
HONOLULU HI
96818-3172
US

IV. Provider business mailing address

1001 KAMOKILA BLVD STE 210
KAPOLEI HI
96707-2096
US

V. Phone/Fax

Practice location:
  • Phone: 808-486-1804
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code247200000X
TaxonomyOther Technician
License NumberRBT-16-14610
License Number StateHI
# 2
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-16-24885
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: