Individual
MIRNA TORRES CISNEROS, BAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
18765 SW BOONES FERRY RD STE 100, TUALATIN, OR 97062-8607
(503) 612-1000
Mailing address
27777 INKSTER RD STE 100, FARMINGTON HILLS, MI 48334-5312
(248) 436-4365
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
ABA-IN-10213634
OR
106S00000X
Behavior Technician
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—
Other
Enumeration date
03/03/2021
Last updated
07/27/2023
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