Provider Demographics
NPI:1043743834
Name:TORSIELLO, KARIN (BCBA)
Entity Type:Individual
Prefix:
First Name:KARIN
Middle Name:
Last Name:TORSIELLO
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3315 NW PERIMETER RD
Mailing Address - Street 2:
Mailing Address - City:PALM CITY
Mailing Address - State:FL
Mailing Address - Zip Code:34990-4916
Mailing Address - Country:US
Mailing Address - Phone:321-431-7352
Mailing Address - Fax:
Practice Address - Street 1:3315 NW PERIMETER RD
Practice Address - Street 2:
Practice Address - City:PALM CITY
Practice Address - State:FL
Practice Address - Zip Code:34990-4916
Practice Address - Country:US
Practice Address - Phone:321-431-7352
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-07
Last Update Date:2017-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1010577103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst