Provider Demographics
NPI:1942821582
Name:TOUFEXIS, JENNIFER MARIA (MS BCBA LBA)
Entity Type:Individual
Prefix:MS
First Name:JENNIFER
Middle Name:MARIA
Last Name:TOUFEXIS
Suffix:
Gender:F
Credentials:MS BCBA LBA
Other - Prefix:
Other - First Name:JENNIFER
Other - Middle Name:MARIA
Other - Last Name:EGOZCUE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:904 PRINCESS ANNE ST STE 407
Mailing Address - Street 2:
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22401-5804
Mailing Address - Country:US
Mailing Address - Phone:540-479-3889
Mailing Address - Fax:540-479-3946
Practice Address - Street 1:4000 GENESEE PL STE 205
Practice Address - Street 2:
Practice Address - City:WOODBRIDGE
Practice Address - State:VA
Practice Address - Zip Code:22192-8302
Practice Address - Country:US
Practice Address - Phone:540-479-3889
Practice Address - Fax:540-479-3946
Is Sole Proprietor?:No
Enumeration Date:2020-05-06
Last Update Date:2020-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0133001702101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor