Provider Demographics
NPI:1437768926
Name:TORRES CHAVIANO, IRINA (RBT)
Entity Type:Individual
Prefix:
First Name:IRINA
Middle Name:
Last Name:TORRES CHAVIANO
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 1:6801 HARDING AVE APT 318
Mailing Address - Street 2:
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33141-3849
Mailing Address - Country:US
Mailing Address - Phone:786-451-6353
Mailing Address - Fax:
Practice Address - Street 1:6801 HARDING AVE APT 318
Practice Address - Street 2:
Practice Address - City:MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33141-3849
Practice Address - Country:US
Practice Address - Phone:786-451-6353
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-30
Last Update Date:2022-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL0-21-12907106E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior Analyst