Provider Demographics
NPI:1700665247
Name:TORRES ROBAINA, LIRIAN
Entity Type:Individual
Prefix:
First Name:LIRIAN
Middle Name:
Last Name:TORRES ROBAINA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:606 W 16TH ST
Mailing Address - Street 2:
Mailing Address - City:LEHIGH ACRES
Mailing Address - State:FL
Mailing Address - Zip Code:33972
Mailing Address - Country:US
Mailing Address - Phone:786-523-2482
Mailing Address - Fax:
Practice Address - Street 1:606 W 16TH ST
Practice Address - Street 2:
Practice Address - City:LEHIGH ACRES
Practice Address - State:FL
Practice Address - Zip Code:33972
Practice Address - Country:US
Practice Address - Phone:786-523-2482
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-25
Last Update Date:2023-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-23-288566106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician