Provider Demographics
NPI:1922657550
Name:HABER TORRES, NATHALIE SARAYANNA (RBT)
Entity Type:Individual
Prefix:
First Name:NATHALIE
Middle Name:SARAYANNA
Last Name:HABER TORRES
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4225 RANDALL BLVD
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34120-8932
Mailing Address - Country:US
Mailing Address - Phone:786-556-5143
Mailing Address - Fax:
Practice Address - Street 1:3855 SW 153RD CT
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33185-4710
Practice Address - Country:US
Practice Address - Phone:786-556-5143
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-06
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior TechnicianGroup - Single Specialty