Provider Demographics
NPI:1952893182
Name:TORRES, RAQUEL N (BCBA)
Entity type:Individual
Prefix:
First Name:RAQUEL
Middle Name:N
Last Name:TORRES
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:128 68TH ST
Mailing Address - Street 2:
Mailing Address - City:GUTTENBERG
Mailing Address - State:NJ
Mailing Address - Zip Code:07093-3212
Mailing Address - Country:US
Mailing Address - Phone:207-370-5799
Mailing Address - Fax:
Practice Address - Street 1:5-11 SADDLE RIVER RD STE 6
Practice Address - Street 2:
Practice Address - City:FAIR LAWN
Practice Address - State:NJ
Practice Address - Zip Code:07410-5636
Practice Address - Country:US
Practice Address - Phone:201-794-9797
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-04
Last Update Date:2020-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst