Provider Demographics
NPI:1023816915
Name:TORRES, LILA ROSA (BCBA)
Entity type:Individual
Prefix:
First Name:LILA
Middle Name:ROSA
Last Name:TORRES
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11228 SW 5TH TER
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33174-1172
Mailing Address - Country:US
Mailing Address - Phone:786-716-8327
Mailing Address - Fax:
Practice Address - Street 1:6295 LAKE WORTH RD STE 40
Practice Address - Street 2:
Practice Address - City:GREENACRES
Practice Address - State:FL
Practice Address - Zip Code:33463-3034
Practice Address - Country:US
Practice Address - Phone:561-508-6150
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-05
Last Update Date:2025-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1-25-79455103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst