Provider Demographics
NPI:1417458506
Name:TORRES OCANA, ELEANET (RBT-18-72715)
Entity type:Individual
Prefix:
First Name:ELEANET
Middle Name:
Last Name:TORRES OCANA
Suffix:
Gender:F
Credentials:RBT-18-72715
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3241 NE 11TH DR
Mailing Address - Street 2:
Mailing Address - City:HOMESTEAD
Mailing Address - State:FL
Mailing Address - Zip Code:33033-5305
Mailing Address - Country:US
Mailing Address - Phone:786-580-6042
Mailing Address - Fax:
Practice Address - Street 1:10920 SW 184TH ST
Practice Address - Street 2:
Practice Address - City:CUTLER BAY
Practice Address - State:FL
Practice Address - Zip Code:33157-6608
Practice Address - Country:US
Practice Address - Phone:305-378-5775
Practice Address - Fax:305-378-5772
Is Sole Proprietor?:Yes
Enumeration Date:2018-02-23
Last Update Date:2025-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-18-72715106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician