Provider Demographics
NPI:1427729524
Name:ROMERO-TORRES, KLEMNYS
Entity type:Individual
Prefix:
First Name:KLEMNYS
Middle Name:
Last Name:ROMERO-TORRES
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 1:1329 TIMBERIDGE LOOP N
Mailing Address - Street 2:
Mailing Address - City:LAKELAND
Mailing Address - State:FL
Mailing Address - Zip Code:33809-7668
Mailing Address - Country:US
Mailing Address - Phone:305-928-0333
Mailing Address - Fax:
Practice Address - Street 1:1329 TIMBERIDGE LOOP N
Practice Address - Street 2:
Practice Address - City:LAKELAND
Practice Address - State:FL
Practice Address - Zip Code:33809-7668
Practice Address - Country:US
Practice Address - Phone:305-928-0333
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-28
Last Update Date:2023-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-20-127688106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician