Provider Demographics
NPI:1912687682
Name:MCENTARFER, JARROD
Entity Type:Individual
Prefix:MR
First Name:JARROD
Middle Name:
Last Name:MCENTARFER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31 BIRCHWOOD DR
Mailing Address - Street 2:
Mailing Address - City:FREDONIA
Mailing Address - State:NY
Mailing Address - Zip Code:14063-1203
Mailing Address - Country:US
Mailing Address - Phone:347-909-2208
Mailing Address - Fax:
Practice Address - Street 1:31 BIRCHWOOD DR
Practice Address - Street 2:
Practice Address - City:FREDONIA
Practice Address - State:NY
Practice Address - Zip Code:14063-1203
Practice Address - Country:US
Practice Address - Phone:347-909-2208
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-19
Last Update Date:2023-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty