Jetter-Mace, Tiffany R
Jetter-Mace, Tiffany R is an sole proprietor health care provider with primary practice located at 56 Broad St Apt 429 , Bloomfield NJ 07003-2374. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Jetter-Mace, Tiffany R can be contacted via phone (315) 272-7802.Contact Information
Primary practice address
56 Broad St Apt 429
Bloomfield NJ 07003-2374
Phone: (315) 272-7802
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | 1-19-39694 | New Jersey |
Profile Details
| NPI number | 1811520653 |
|---|---|
| LBN Legal business name | Jetter-Mace, Tiffany R |
| Credentials | M.A., BCBA |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 20th, 2020 |
| Last updated | Feb 20th, 2020 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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