Basic Information
| Provider Information | |||||||||
| NPI: | 1346982980 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | TORRES | ||||||||
| FirstName: | ALEXANDRIA | ||||||||
| MiddleName: | ERIN | ||||||||
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| Mailing Information | |||||||||
| Address1: | 5850 GRANITE PKWY STE 600 | ||||||||
| Address2: | |||||||||
| City: | PLANO | ||||||||
| State: | TX | ||||||||
| PostalCode: | 750246753 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2147702633 | ||||||||
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| Practice Location | |||||||||
| Address1: | 12740 BANDERA RD STE 200 | ||||||||
| Address2: | |||||||||
| City: | HELOTES | ||||||||
| State: | TX | ||||||||
| PostalCode: | 780234328 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2103219275 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 04/13/2022 | ||||||||
| LastUpdateDate: | 04/13/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 04/13/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 103K00000X | 45764480 | TX | Y | Behavioral Health & Social Service Providers | Behavioral Analyst |
No ID Information.