Provider Demographics
NPI:1962751412
Name:TORRES, SARAH (BCBA, LBA)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:TORRES
Suffix:
Gender:F
Credentials:BCBA, LBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20838 B TIMBERLAKE ROAD
Mailing Address - Street 2:
Mailing Address - City:LYNCHBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24502-5346
Mailing Address - Country:US
Mailing Address - Phone:434-214-8112
Mailing Address - Fax:434-220-0103
Practice Address - Street 1:20838 B TIMBERLAKE ROAD
Practice Address - Street 2:
Practice Address - City:LYNCHBURG
Practice Address - State:VA
Practice Address - Zip Code:24502-5346
Practice Address - Country:US
Practice Address - Phone:434-420-1043
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-08-30
Last Update Date:2023-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
Provider Identifiers
StateIdentifier IDID TypeIssuer
1285992743OtherGROUP NPI
MAMA10026265Medicaid