Provider Demographics
NPI:1013775634
Name:RODRIGUEZ TORRES, CELINA (RBT-23-306366)
Entity Type:Individual
Prefix:
First Name:CELINA
Middle Name:
Last Name:RODRIGUEZ TORRES
Suffix:
Gender:F
Credentials:RBT-23-306366
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4621 TERRY TOWN DR
Mailing Address - Street 2:
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34746-2013
Mailing Address - Country:US
Mailing Address - Phone:407-989-9504
Mailing Address - Fax:
Practice Address - Street 1:4621 TERRY TOWN DR
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34746-2013
Practice Address - Country:US
Practice Address - Phone:407-989-9504
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-08
Last Update Date:2024-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-23-306366106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician