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NPI Code Detail

MEDICARE: JENNIFER TORRES

MEDICARE: JENNIFER TORRES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1053038034
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER TORRES
Provider Business Mailing Address
First Line : 5309 HOLMBY AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89146-1343
Country : US
Telephone Number : 702-501-4338
Fax Number :
Provider Business Practice Location Address
First Line : 1091 S CIMARRON RD STE A4
Second Line :
City : LAS VEGAS
State : NV
Zip : 89145-2445
Country : US
Telephone Number : 702-992-7908
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/20/2022
Last Update Date : 10/20/2022

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Directions to “ JENNIFER TORRES ” Practice Location

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