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NPI Code Detail

MEDICARE: WESLEY TORRES

MEDICARE:   WESLEY  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
1103K00000XBehavior Analyst

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1891170049
Entity Type Code : Individual
Provider Name (Legal Business Name) : WESLEY TORRES
Provider Business Mailing Address
First Line : 68 NORTH FRONT ST
Second Line :
City : NEW BEDFORD
State : MA
Zip : 02740
Country : US
Telephone Number : 508-264-7883
Fax Number :
Provider Business Practice Location Address
First Line : 609 PLYMOUTH AVE
Second Line : SOUTH 2
City : FALL RIVER
State : MA
Zip : 02721-2956
Country : US
Telephone Number : 508-264-7883
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/29/2015
Last Update Date : 07/29/2015

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Directions to “ WESLEY TORRES ” Practice Location

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