Provider Demographics
NPI:1568253839
Name:TORRES VIGIL, KAREN O (RBT-25-436327)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:O
Last Name:TORRES VIGIL
Suffix:
Gender:F
Credentials:RBT-25-436327
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1104 SW EMBERS TER
Mailing Address - Street 2:
Mailing Address - City:CAPE CORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33991-1510
Mailing Address - Country:US
Mailing Address - Phone:305-988-9316
Mailing Address - Fax:
Practice Address - Street 1:1104 SW EMBERS TER
Practice Address - Street 2:
Practice Address - City:CAPE CORAL
Practice Address - State:FL
Practice Address - Zip Code:33991-1510
Practice Address - Country:US
Practice Address - Phone:305-988-9316
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-15
Last Update Date:2025-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-25-436327106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician