Provider Demographics
NPI:1689315186
Name:TORRES, ARLENE-ANGELIQUE
Entity Type:Individual
Prefix:
First Name:ARLENE-ANGELIQUE
Middle Name:
Last Name:TORRES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7585 SHADYSIDE WAY
Mailing Address - Street 2:
Mailing Address - City:EASTVALE
Mailing Address - State:CA
Mailing Address - Zip Code:92880-5503
Mailing Address - Country:US
Mailing Address - Phone:951-808-7303
Mailing Address - Fax:
Practice Address - Street 1:7585 SHADYSIDE WAY
Practice Address - Street 2:
Practice Address - City:EASTVALE
Practice Address - State:CA
Practice Address - Zip Code:92880-5503
Practice Address - Country:US
Practice Address - Phone:951-808-7303
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-06
Last Update Date:2022-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician