Provider Demographics
NPI:1962756221
Name:TORRES, JULIO ENRIQUE (BCBA-D)
Entity type:Individual
Prefix:DR
First Name:JULIO
Middle Name:ENRIQUE
Last Name:TORRES
Suffix:
Gender:M
Credentials:BCBA-D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1349 MAJESTY TER
Mailing Address - Street 2:
Mailing Address - City:WESTON
Mailing Address - State:FL
Mailing Address - Zip Code:33327-2308
Mailing Address - Country:US
Mailing Address - Phone:786-247-3447
Mailing Address - Fax:954-385-0427
Practice Address - Street 1:1349 MAJESTY TER
Practice Address - Street 2:
Practice Address - City:WESTON
Practice Address - State:FL
Practice Address - Zip Code:33327-2308
Practice Address - Country:US
Practice Address - Phone:786-247-3447
Practice Address - Fax:954-385-0427
Is Sole Proprietor?:No
Enumeration Date:2012-11-07
Last Update Date:2012-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst