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NPI 1427627009

NPI 1427627009 : LEIRA MELANIE TORRES M.S., BCBA : PALMETTO BAY, FL

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General NPI Number Information
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    NPI Number           |    1427627009
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    Entity Type          |    Individual 
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    Provider Name        |    LEIRA MELANIE TORRES M.S., BCBA
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/18/2021
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    Last Update Date     |    10/02/2025
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Provider Practice Location Address
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    Address Line         |    9745 SW 184TH ST 
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    City                 |    PALMETTO BAY
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    State                |    FL
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    Zip                  |    33157-6932
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    Country              |    US
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    Telephone            |    786-701-2401
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    9071 SW 172ND AVE 
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    City                 |    MIAMI
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    State                |    FL
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    Zip                  |    33196-2952
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    Country              |    US
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    Telephone            |    
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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        |    103K00000X
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    Taxonomy Name        |    Behavior Analyst
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    License Number       |    1-25-84436
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    License Number State |    FL
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