MEDICARE: BRYANT CALDERON TORRES BCBA

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
1	103K00000X	Behavior Analyst	1-26-89930	CA

General Provider Information

NPI Number	:	1306776331
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRYANT CALDERON TORRES BCBA

Provider Business Mailing Address
First Line	:	4305 CHADBOURN ST
Second Line	:
City	:	BAKERSFIELD
State	:	CA
Zip	:	93307-4713
Country	:	US
Telephone Number	:	661-447-0470
Fax Number	:

Provider Business Practice Location Address
First Line	:	2001 22ND ST
Second Line	:
City	:	BAKERSFIELD
State	:	CA
Zip	:	93301-3831
Country	:	US
Telephone Number	:	661-447-0470
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/21/2026
Last Update Date	:	05/21/2026

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