Individual
CHELSEA TORRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
215 RED COACH DR, MISHAWAKA, IN 46545-8307
(317) 222-1242
Mailing address
215 RED COACH DR, MISHAWAKA, IN 46545-8307
(574) 387-4313
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-49547
—
103K00000X
Behavior Analyst
LBA799
TN
106E00000X
Assistant Behavior Analyst
0-20-11075
IN
106E00000X
Assistant Behavior Analyst
LABA25
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0-20-11075
BACB
IN
01
—
1-21-49547
BACB
—
01
—
LABA25
STATE OF TN
TN
01
—
LBA799
STATE OF TN
TN
Enumeration date
08/25/2020
Last updated
08/13/2024
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