Tiffany R Jetter-Mace, MA, BCBA
Behavior Analyst in Bloomfield, New Jersey
1811520653- Practice location
- 56 Broad St Apt 429, Bloomfield, NJ 07003-2374
- Phone
- 315-272-7802
- Fax
- —
- Last updated
- February 20, 2020
Tiffany R Jetter-Mace is a Behavior Analyst based in Bloomfield, NJ. Tiffany R Jetter-Mace practices in Bloomfield, NJ and has the professional credentials of MA, BCBA. The NPI Number for Tiffany R Jetter-Mace is 1811520653 and holds a License No. 1-19-39694 (NJ). The current practice location address for Tiffany R Jetter-Mace is 56 Broad St Apt 429, Bloomfield, NJ 07003-2374 and can be reached out via phone at 315-272-7802.
Provider Profile Details
- NPI Number
- 1811520653
- Provider Name
- Tiffany R Jetter-Mace
- Credential
- MA, BCBA
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 56 Broad St Apt 429, Bloomfield, NJ 07003-2374
- Phone Number
- 315-272-7802
- Primary Taxonomy
- Behavior Analyst · 103K00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- February 20, 2020
- Last Update Date
- February 20, 2020
- Certification Date
- February 20, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 56 Broad St Apt 429
Bloomfield, NJ 07003-2374 - City
- Bloomfield
- State
- New Jersey
- Zip
- 07003-2374
- Phone Number
- 315-272-7802
Provider Business Mailing Address Details
- Address
- 56 Broad St Apt 429
Bloomfield, NJ 07003-2374 - City
- Bloomfield
- State
- NJ
- Zip
- 07003-2374
- Phone Number
- 315-272-7802
License Information
- License Number
- 1-19-39694
- License State
- NJ
- Taxonomy
- Behavior Analyst · 103K00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Tiffany R Jetter-Mace, MA, BCBA?
The NPI number of Tiffany R Jetter-Mace, MA, BCBA is 1811520653. It was assigned on February 20, 2020 and is currently active in the NPPES registry.
What is the specialty of Tiffany R Jetter-Mace, MA, BCBA?
Tiffany R Jetter-Mace, MA, BCBA is registered under the primary taxonomy Behavior Analyst (code 103K00000X), licensed in NJ under license number 1-19-39694.
Where does Tiffany R Jetter-Mace, MA, BCBA practice?
The practice location is 56 Broad St Apt 429, Bloomfield, NJ 07003-2374. The office can be reached at 315-272-7802 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1811520653 directly on the NPPES registry website.