Organization
BOARD CERTIFIED BEHAVIOR ANALYSTS GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JULIO ENRIQUE TORRES M.A., M.S., BCBA (PRESIDENT)
(786) 247-3447
Entity
Organization
Contact information
Practice address
1349 MAJESTY TER, WESTON, FL 33327-2308
(954) 385-0427
(954) 385-0427
Mailing address
1349 MAJESTY TER, WESTON, FL 33327-2308
(954) 385-0427
(954) 385-0427
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000614700
—
FL
05
—
000614701
—
FL
Enumeration date
09/29/2009
Last updated
09/29/2009
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