Individual provider Active NPI

Kendra Corbie Torres

  • Behavior Technician
  • Doral, FL
National Provider Identifier
1275318529
Registry record updated Aug 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-23-280491 Issued in FL
Practice address
8180 NW 36TH St Ste 317
Doral, FL 33166-6674
Phone
(786) 287-4039
NPI assigned
Aug 25, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-23-280491 FL Primary

Addresses

Primary practice location

8180 NW 36TH St Ste 317
Doral, FL 33166-6674

Mailing address

680 NW 79TH Ter Apt 202
Pembroke Pines, FL 33024-5177
Phone (954) 804-1778

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
RBT-23-280491FLMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Step Up Behavioral Therapy Center LLC CurrentSince Sep 10, 2023 Accepting new patients

Locations

8180 NW 36th St
Ste 317
Doral, FL 33166
Phone (786) 287-4039

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1692921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692921600000",
    "number": "1275318529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 NW 79TH TER APT 202",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330245177",
            "telephone_number": "954-804-1778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8180 NW 36TH ST STE 317",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331666674",
            "telephone_number": "786-287-4039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORBIE TORRES",
        "first_name": "KENDRA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-25",
        "last_updated": "2023-08-25",
        "certification_date": "2023-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-23-280491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Doral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.