Provider Demographics
NPI:1821841800
Name:TORRES, TIFFANY DIONNE I
Entity Type:Individual
Prefix:
First Name:TIFFANY
Middle Name:DIONNE
Last Name:TORRES
Suffix:I
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 1:551 3RD AVE APT R
Mailing Address - Street 2:
Mailing Address - City:LYNDHURST
Mailing Address - State:NJ
Mailing Address - Zip Code:07071-1524
Mailing Address - Country:US
Mailing Address - Phone:201-221-9263
Mailing Address - Fax:
Practice Address - Street 1:551 3RD AVE APT R
Practice Address - Street 2:
Practice Address - City:LYNDHURST
Practice Address - State:NJ
Practice Address - Zip Code:07071-1524
Practice Address - Country:US
Practice Address - Phone:201-221-9263
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-09
Last Update Date:2024-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst