Provider Demographics
NPI:1093089294
Name:TUMINELLO, ALFRED ROYAL JR (BCBA)
Entity Type:Individual
Prefix:MR
First Name:ALFRED
Middle Name:ROYAL
Last Name:TUMINELLO
Suffix:JR
Gender:M
Credentials:BCBA
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Mailing Address - Street 1:2845 COUNTRY CLUB RD
Mailing Address - Street 2:APARTMENT 403
Mailing Address - City:LAKE CHARLES
Mailing Address - State:LA
Mailing Address - Zip Code:70605-5996
Mailing Address - Country:US
Mailing Address - Phone:337-945-0349
Mailing Address - Fax:
Practice Address - Street 1:2845 COUNTRY CLUB RD
Practice Address - Street 2:APARTMENT 403
Practice Address - City:LAKE CHARLES
Practice Address - State:LA
Practice Address - Zip Code:70605-5996
Practice Address - Country:US
Practice Address - Phone:337-945-0349
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-06
Last Update Date:2012-03-06
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst