Provider Demographics
NPI:1851155949
Name:TAFONE, STEPHANIE (MA, BCBA, LBA)
Entity Type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:
Last Name:TAFONE
Suffix:
Gender:F
Credentials:MA, BCBA, LBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:380 STOCKTON ST
Mailing Address - Street 2:
Mailing Address - City:HIGHTSTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:08520-4228
Mailing Address - Country:US
Mailing Address - Phone:347-948-5355
Mailing Address - Fax:
Practice Address - Street 1:380 STOCKTON ST
Practice Address - Street 2:
Practice Address - City:HIGHTSTOWN
Practice Address - State:NJ
Practice Address - Zip Code:08520-4228
Practice Address - Country:US
Practice Address - Phone:347-948-5355
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-08
Last Update Date:2024-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY003348103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst