Provider Demographics
NPI:1447770235
Name:TORRES-VROBEL, JADE MELISSA (BCBA)
Entity Type:Individual
Prefix:
First Name:JADE
Middle Name:MELISSA
Last Name:TORRES-VROBEL
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:PSC 1005 BOX 60
Mailing Address - Street 2:
Mailing Address - City:FPO
Mailing Address - State:AE
Mailing Address - Zip Code:09593-0001
Mailing Address - Country:US
Mailing Address - Phone:939-339-7972
Mailing Address - Fax:
Practice Address - Street 1:PSC 1005
Practice Address - Street 2:BOX 60
Practice Address - City:FPO
Practice Address - State:AE
Practice Address - Zip Code:09593
Practice Address - Country:US
Practice Address - Phone:939-339-7972
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-22
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst