Provider Demographics
NPI:1740231992
Name:DEL TORO, YILLIAM VICTORIA (CBHCMS, BCBA)
Entity Type:Individual
Prefix:
First Name:YILLIAM
Middle Name:VICTORIA
Last Name:DEL TORO
Suffix:
Gender:F
Credentials:CBHCMS, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7840 SW 17TH TER
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33155-1356
Mailing Address - Country:US
Mailing Address - Phone:786-413-4212
Mailing Address - Fax:
Practice Address - Street 1:7840 SW 17TH TER
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33155
Practice Address - Country:US
Practice Address - Phone:786-413-4212
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-12
Last Update Date:2021-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL104100000X
FLMT3929106H00000X
FL1-19-37837103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No104100000XBehavioral Health & Social Service ProvidersSocial Worker
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL767601800Medicaid
FL767601800Medicaid