Provider Demographics
NPI:1235550336
Name:BUFALINO, SIERRA
Entity Type:Individual
Prefix:MRS
First Name:SIERRA
Middle Name:
Last Name:BUFALINO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:218 BENNINGTON DR
Mailing Address - Street 2:
Mailing Address - City:RAEFORD
Mailing Address - State:NC
Mailing Address - Zip Code:28376-8522
Mailing Address - Country:US
Mailing Address - Phone:570-468-7676
Mailing Address - Fax:
Practice Address - Street 1:218 BENNINGTON DR
Practice Address - Street 2:
Practice Address - City:RAEFORD
Practice Address - State:NC
Practice Address - Zip Code:28376-8522
Practice Address - Country:US
Practice Address - Phone:570-468-7676
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-12-17
Last Update Date:2013-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst