MEDICARE: MISS NICTE TORRES RBT

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	3747P1801X	Personal Care Attendant
2	106S00000X	Behavior Technician	RBT1613492	FL
3	106S00000X	Behavior Technician	RBT-16-13492	FL

Other Identifiers

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

General Provider Information

NPI Number	:	1972892594
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS NICTE TORRES RBT

Provider Business Mailing Address
First Line	:	4721 WARRINGTON DR
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32826-4027
Country	:	US
Telephone Number	:	321-438-3379
Fax Number	:	407-359-6788

Provider Business Practice Location Address
First Line	:	4721 WARRINGTON DR
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32826-4027
Country	:	US
Telephone Number	:	321-438-3379
Fax Number	:	407-359-6788

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

Provider Enumeration Date	:	04/04/2011
Last Update Date	:	07/16/2019

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Directions to “ MISS NICTE TORRES RBT” Practice Location

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