Provider Demographics
NPI:1699536938
Name:CALERO TORRES, ZAIRIS (RBT24-321978)
Entity type:Individual
Prefix:
First Name:ZAIRIS
Middle Name:
Last Name:CALERO TORRES
Suffix:
Gender:F
Credentials:RBT24-321978
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:425 KISMET PKWY W
Mailing Address - Street 2:
Mailing Address - City:CAPE CORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33993-8799
Mailing Address - Country:US
Mailing Address - Phone:239-375-8362
Mailing Address - Fax:
Practice Address - Street 1:425 KISMET PKWY W
Practice Address - Street 2:
Practice Address - City:CAPE CORAL
Practice Address - State:FL
Practice Address - Zip Code:33993-8799
Practice Address - Country:US
Practice Address - Phone:239-375-8362
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-23
Last Update Date:2024-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-24-321978106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician