Provider Demographics
NPI:1245826676
Name:TORIBIO, FELIX JR (MA, BCBA)
Entity type:Individual
Prefix:MR
First Name:FELIX
Middle Name:
Last Name:TORIBIO
Suffix:JR
Gender:M
Credentials:MA, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1595 BONITA PL
Mailing Address - Street 2:
Mailing Address - City:SAN MIGUEL
Mailing Address - State:CA
Mailing Address - Zip Code:93451-9706
Mailing Address - Country:US
Mailing Address - Phone:805-423-2803
Mailing Address - Fax:
Practice Address - Street 1:1595 BONITA PL
Practice Address - Street 2:
Practice Address - City:SAN MIGUEL
Practice Address - State:CA
Practice Address - Zip Code:93451-9706
Practice Address - Country:US
Practice Address - Phone:805-423-2803
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-20
Last Update Date:2020-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1-20-46144103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst