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General NPI Number Information
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NPI Number | 1104393917
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Entity Type | Individual
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Provider Name | KRISTIAN MICHELLE TORRES BCABA, LBA
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Gender | Female
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Dates
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Enumeration Date | 10/30/2018
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 1922 DRY CREEK WAY STE 101
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City | SAN ANTONIO
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State | TX
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Zip | 78259-1840
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Country | US
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Telephone | 844-810-2344
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Fax |
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Provider Business Mailing Address
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Address Line | 6914 BRISBANE CT STE 200
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City | SUGAR LAND
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State | TX
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Zip | 77479-4924
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Country | US
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Telephone | 844-272-7223
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106E00000X
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Taxonomy Name | Assistant Behavior Analyst
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License Number | 4191
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License Number State | TX
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