Healthcare Provider Details

I. General information

NPI: 1417894817
Provider Name (Legal Business Name): JORGE L TORRES MA, BCBA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/02/2026
Last Update Date: 05/02/2026
Certification Date: 05/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1784 HAMBURG TPKE
WAYNE NJ
07470-4094
US

IV. Provider business mailing address

1100 83RD ST APT A6
NORTH BERGEN NJ
07047-4259
US

V. Phone/Fax

Practice location:
  • Phone: 973-228-2800
  • Fax:
Mailing address:
  • Phone: 201-923-5198
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: