Individual
LESLIE TORRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
76 MILTON AVE, WEST HAVEN, CT 06516-6708
(203) 684-9946
Mailing address
76 MILTON AVE, WEST HAVEN, CT 06516-6708
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-19-89938
CT
Other
Enumeration date
06/05/2020
Last updated
06/05/2020
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