Provider Demographics
NPI:1134481591
Name:TUFANO, JAMIE (MS SPED/ED, SBL)
Entity Type:Individual
Prefix:MS
First Name:JAMIE
Middle Name:
Last Name:TUFANO
Suffix:
Gender:F
Credentials:MS SPED/ED, SBL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:235 SPRINGMEADOW DR UNIT M
Mailing Address - Street 2:
Mailing Address - City:HOLBROOK
Mailing Address - State:NY
Mailing Address - Zip Code:11741-4103
Mailing Address - Country:US
Mailing Address - Phone:917-405-2813
Mailing Address - Fax:
Practice Address - Street 1:235 SPRINGMEADOW DR UNIT M
Practice Address - Street 2:
Practice Address - City:HOLBROOK
Practice Address - State:NY
Practice Address - Zip Code:11741-4103
Practice Address - Country:US
Practice Address - Phone:917-405-2813
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-12
Last Update Date:2016-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst