Provider Demographics
NPI:1851855118
Name:TORRES GARCIA, STEPHANIE (REGISTERED BEHAVIOR)
Entity Type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:
Last Name:TORRES GARCIA
Suffix:
Gender:F
Credentials:REGISTERED BEHAVIOR
Other - Prefix:
Other - First Name:STEPHANIE
Other - Middle Name:
Other - Last Name:TORRES GARCIA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:REGISTERED BEHAVIOR
Mailing Address - Street 1:5834 MULLER ST APT C
Mailing Address - Street 2:
Mailing Address - City:BELL GARDENS
Mailing Address - State:CA
Mailing Address - Zip Code:90201-6255
Mailing Address - Country:US
Mailing Address - Phone:562-454-4924
Mailing Address - Fax:
Practice Address - Street 1:15209 FERNVIEW ST
Practice Address - Street 2:
Practice Address - City:WHITTIER
Practice Address - State:CA
Practice Address - Zip Code:90604-2204
Practice Address - Country:US
Practice Address - Phone:562-454-4924
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-01-30
Last Update Date:2019-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician
Provider Identifiers
StateIdentifier IDID TypeIssuer
106S00000XOtherREGISTERED BEHAVIOR TECHNICIAN