Provider Demographics
NPI:1326327594
Name:GIOIA, JENNIFER EILEEN (MA, MS)
Entity Type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:EILEEN
Last Name:GIOIA
Suffix:
Gender:F
Credentials:MA, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:702 WILLOW AVE
Mailing Address - Street 2:APT 3
Mailing Address - City:HOBOKEN
Mailing Address - State:NJ
Mailing Address - Zip Code:07030-4027
Mailing Address - Country:US
Mailing Address - Phone:516-286-3872
Mailing Address - Fax:
Practice Address - Street 1:465 GRAND ST
Practice Address - Street 2:3RD FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10002-4800
Practice Address - Country:US
Practice Address - Phone:212-420-1999
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-05
Last Update Date:2011-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst