Healthcare Provider Details
I. General information
NPI: 1962751412
Provider Name (Legal Business Name): SARAH TORRES BCBA, LBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 08/30/2012
Last Update Date: 05/04/2023
Certification Date: 02/28/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
20838 B TIMBERLAKE ROAD
LYNCHBURG VA
24502-5346
US
IV. Provider business mailing address
20838 B TIMBERLAKE ROAD
LYNCHBURG VA
24502-5346
US
V. Phone/Fax
- Phone: 434-420-1043
- Fax:
- Phone: 434-214-8112
- Fax: 434-220-0103
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103K00000X |
| Taxonomy | Behavior Analyst |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: