Provider Demographics
NPI:1689178790
Name:LAURIELLO, JENNIFER CRONER (MSED, BCBA)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:CRONER
Last Name:LAURIELLO
Suffix:
Gender:F
Credentials:MSED, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:121 WASHINGTON PL
Mailing Address - Street 2:
Mailing Address - City:CHESTERBROOK
Mailing Address - State:PA
Mailing Address - Zip Code:19087-5864
Mailing Address - Country:US
Mailing Address - Phone:484-798-8376
Mailing Address - Fax:
Practice Address - Street 1:111 RESEARCH DR
Practice Address - Street 2:
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18015-4731
Practice Address - Country:US
Practice Address - Phone:610-758-2443
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-22
Last Update Date:2021-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst