MEDICARE: ADELINE 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
1	106S00000X	Behavior Technician

General Provider Information

NPI Number	:	1689512188
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ADELINE TORRES

Provider Business Mailing Address
First Line	:	1239 E NEWPORT CENTER DR STE 101
Second Line	:
City	:	DEERFIELD BEACH
State	:	FL
Zip	:	33442-7711
Country	:	US
Telephone Number	:	754-341-2745
Fax Number	:

Provider Business Practice Location Address
First Line	:	5439 BEAUMONT CENTER BLVD STE 1010
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33634-5211
Country	:	US
Telephone Number	:	813-214-6746
Fax Number	:

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

Provider Enumeration Date	:	03/24/2026
Last Update Date	:	03/24/2026

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