Individual
LICEFERY TORRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
430 E 33RD ST APT 1, PATERSON, NJ 07504-1770
(973) 405-8740
Mailing address
430 E 33RD ST APT 1, PATERSON, NJ 07504-1770
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/20/2017
Last updated
09/20/2017
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