Provider Demographics
NPI:1285152561
Name:KOCHMANN, JAMIE J
Entity type:Individual
Prefix:MRS
First Name:JAMIE
Middle Name:J
Last Name:KOCHMANN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:107 SMITH LN
Mailing Address - Street 2:
Mailing Address - City:CENTEREACH
Mailing Address - State:NY
Mailing Address - Zip Code:11720-3878
Mailing Address - Country:US
Mailing Address - Phone:631-935-2523
Mailing Address - Fax:
Practice Address - Street 1:107 SMITH LN
Practice Address - Street 2:
Practice Address - City:CENTEREACH
Practice Address - State:NY
Practice Address - Zip Code:11720-3878
Practice Address - Country:US
Practice Address - Phone:631-935-2523
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-09-06
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst