Provider Demographics
NPI:1720691322
Name:TORRES, CHELSEA (BCBA)
Entity Type:Individual
Prefix:
First Name:CHELSEA
Middle Name:
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 1:15755 N POINTE BLVD
Mailing Address - Street 2:
Mailing Address - City:NOBLESVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46060-4388
Mailing Address - Country:US
Mailing Address - Phone:137-222-1242
Mailing Address - Fax:
Practice Address - Street 1:15755 N POINTE BLVD
Practice Address - Street 2:
Practice Address - City:NOBLESVILLE
Practice Address - State:IN
Practice Address - Zip Code:46060-4388
Practice Address - Country:US
Practice Address - Phone:317-222-1242
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-25
Last Update Date:2023-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNLABA25106E00000X
IN0-20-11075106E00000X
1-21-49547103K00000X
TNLBA799103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior Analyst
Provider Identifiers
StateIdentifier IDID TypeIssuer
1-21-49547OtherBACB
IN0-20-11075OtherBACB
TNLBA799OtherSTATE OF TN
TNLABA25OtherSTATE OF TN