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General NPI Number Information
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NPI Number | 1922977008
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Entity Type | Individual
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Provider Name | JOSE EMANUEL TORRES CORDERO MS, BCBA
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Gender | Male
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Dates
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Enumeration Date | 11/05/2025
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Last Update Date | 12/17/2025
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Provider Practice Location Address
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Address Line | 1905 TYBEE LN
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City | LAKE CHARLES
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State | LA
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Zip | 70605-4172
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Country | US
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Telephone | 337-240-8162
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Fax |
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Provider Business Mailing Address
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Address Line | 211 LOUIE ST APT 30
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City | LAKE CHARLES
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State | LA
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Zip | 70601-7289
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Country | US
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Telephone | 337-965-3872
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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 | L-1070
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License Number State | LA
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