Individual
JACLYN TUMOLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
95 FARLEY AVE, FANWOOD, NJ 07023-1004
(646) 260-3875
(727) 400-6443
Mailing address
PO BOX 832, PINELLAS PARK, FL 33780-0832
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
07/01/2017
Last updated
07/01/2017
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