Active NPI
Jaclyn Tumolo
- Behavior Analyst
- Fanwood, NJ
National Provider Identifier
1750802583
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 95 Farley Ave
Fanwood, NJ 07023-1004 - Phone
- (646) 260-3875
- Fax
- (727) 400-6443
- NPI assigned
- Jul 1, 2017
- Last updated
- Jul 1, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Primary |
Addresses
Primary practice location
95 Farley Ave
Fanwood, NJ 07023-1004
Mailing address
PO Box 832
Pinellas Park, FL 33780-0832
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| ABA Solutions, Inc. | Behavior Analyst | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1498867200000",
"number": "1750802583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 832",
"city": "PINELLAS PARK",
"state": "FL",
"postal_code": "337800832"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "95 FARLEY AVE",
"city": "FANWOOD",
"state": "NJ",
"postal_code": "070231004",
"telephone_number": "646-260-3875",
"fax_number": "727-400-6443"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUMOLO",
"first_name": "JACLYN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-07-01",
"last_updated": "2017-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fanwood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.