Provider Demographics
NPI:1801234075
Name:CIAMBRONE, JILLIAN M (BCBA)
Entity type:Individual
Prefix:MISS
First Name:JILLIAN
Middle Name:M
Last Name:CIAMBRONE
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:115B ORTLEY AVE
Mailing Address - Street 2:
Mailing Address - City:LAVALLETTE
Mailing Address - State:NJ
Mailing Address - Zip Code:08735-2033
Mailing Address - Country:US
Mailing Address - Phone:732-604-5807
Mailing Address - Fax:
Practice Address - Street 1:115B ORTLEY AVE
Practice Address - Street 2:
Practice Address - City:LAVALLETTE
Practice Address - State:NJ
Practice Address - Zip Code:08735-2033
Practice Address - Country:US
Practice Address - Phone:732-793-8331
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-11
Last Update Date:2024-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst