Individual
TIFFANY JERONIMO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, BCBA, LABA, LBA
Contact information
Practice address
99 S MAIN ST STE 10, FALL RIVER, MA 02721-5349
(800) 679-3609
Mailing address
140 FAMILY DR, FALL RIVER, MA 02721-2383
(508) 558-6899
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-22-59581
MA
103K00000X
Behavior Analyst
Primary
LABA4111
MA
106S00000X
Behavior Technician
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Other
Enumeration date
05/02/2018
Last updated
04/20/2026
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