Individual
MRS. JACQUELINE DE LA TORRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
709 W BROAD ST, FORNEY, TX 75126-9148
(469) 458-9021
(866) 693-6509
Mailing address
PO BOX 1090, ROCKWALL, TX 75087-1090
(469) 458-9021
(866) 693-6509
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
RBT-19-106068
TX
Other
Enumeration date
01/03/2021
Last updated
02/03/2026
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