Provider Demographics
NPI:1194527523
Name:TORRES, BERENICE C
Entity type:Individual
Prefix:
First Name:BERENICE
Middle Name:C
Last Name:TORRES
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7415 S LAND PARK DR APT 27
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95831-5103
Mailing Address - Country:US
Mailing Address - Phone:559-283-7590
Mailing Address - Fax:
Practice Address - Street 1:7415 S LAND PARK DR APT 27
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95831-5103
Practice Address - Country:US
Practice Address - Phone:559-283-7590
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-26
Last Update Date:2025-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician