Active NPI
Laura Esther Torres Moron, BEHAVIOR TECHNICIAN
- Behavior Technician
- Palm Bay, FL
National Provider Identifier
1609516087
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- 2-11-80868
- Practice address
- 912 Chace LN NE
Palm Bay, FL 32905-5503 - Phone
- (786) 879-6392
- NPI assigned
- Apr 1, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | 2-11-80868 | FL | Primary |
Addresses
Primary practice location
912 Chace LN NE
Palm Bay, FL 32905-5503
Mailing address
912 Chace LN NE
Palm Bay, FL 32905-5503
Phone (786) 879-6392
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1648771200000",
"number": "1609516087",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "912 CHACE LN NE",
"city": "PALM BAY",
"state": "FL",
"postal_code": "329055503",
"telephone_number": "786-879-6392"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "912 CHACE LN NE",
"city": "PALM BAY",
"state": "FL",
"postal_code": "329055503",
"telephone_number": "786-879-6392"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TORRES MORON",
"first_name": "LAURA",
"middle_name": "ESTHER",
"name_prefix": "Ms.",
"credential": "BEHAVIOR TECHNICIAN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-04-01",
"last_updated": "2022-04-01",
"certification_date": "2022-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": "2-11-80868",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palm Bay, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.