Provider Demographics
NPI:1124736889
Name:LAMURA, ANGELINA
Entity type:Individual
Prefix:MRS
First Name:ANGELINA
Middle Name:
Last Name:LAMURA
Suffix:
Gender:F
Credentials:
Other - Prefix:MISS
Other - First Name:ANGELINA
Other - Middle Name:
Other - Last Name:CALAFIORE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:603 ZINNIA CT
Mailing Address - Street 2:
Mailing Address - City:BRICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08724-0727
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:603 ZINNIA CT
Practice Address - Street 2:
Practice Address - City:BRICK
Practice Address - State:NJ
Practice Address - Zip Code:08724-0727
Practice Address - Country:US
Practice Address - Phone:908-839-9055
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-11-11
Last Update Date:2022-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ1-21-53607103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst