Provider Demographics
NPI:1548000433
Name:TORRES, JAZMIN (BT)
Entity type:Individual
Prefix:
First Name:JAZMIN
Middle Name:
Last Name:TORRES
Suffix:
Gender:F
Credentials:BT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23402 NEWGATE DR
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77373-6773
Mailing Address - Country:US
Mailing Address - Phone:719-480-3181
Mailing Address - Fax:
Practice Address - Street 1:23402 NEWGATE DR
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77373-6773
Practice Address - Country:US
Practice Address - Phone:719-480-3181
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-29
Last Update Date:2024-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician