Provider Demographics
NPI:1033768494
Name:TORRES, EDILMA LEONOR (RBT)
Entity Type:Individual
Prefix:
First Name:EDILMA
Middle Name:LEONOR
Last Name:TORRES
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21 SW 29TH AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33135-1330
Mailing Address - Country:US
Mailing Address - Phone:401-516-6893
Mailing Address - Fax:
Practice Address - Street 1:21 SW 29TH AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33135-1330
Practice Address - Country:US
Practice Address - Phone:401-516-6893
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-09
Last Update Date:2019-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician