Provider Demographics
NPI:1831453406
Name:TORRES, ALEJANDRA MARIA
Entity type:Individual
Prefix:MS
First Name:ALEJANDRA
Middle Name:MARIA
Last Name:TORRES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:CANDY
Other - Middle Name:
Other - Last Name:TORRES
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:1-07-3344 BCBA
Mailing Address - Street 1:1223 EL PRADO AVE
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90501-2708
Mailing Address - Country:US
Mailing Address - Phone:310-320-5856
Mailing Address - Fax:310-787-1768
Practice Address - Street 1:1223 EL PRADO AVE
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90501-2708
Practice Address - Country:US
Practice Address - Phone:310-320-5856
Practice Address - Fax:310-787-1768
Is Sole Proprietor?:No
Enumeration Date:2012-06-28
Last Update Date:2012-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1-07-3344- BCBA103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst