Provider Demographics
NPI:1851692354
Name:TOMLINSON, CAROLINE N (BCABA)
Entity type:Individual
Prefix:MRS
First Name:CAROLINE
Middle Name:N
Last Name:TOMLINSON
Suffix:
Gender:F
Credentials:BCABA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:604 LINCOLN AVE
Mailing Address - Street 2:
Mailing Address - City:PALMYRA
Mailing Address - State:NJ
Mailing Address - Zip Code:08065-2002
Mailing Address - Country:US
Mailing Address - Phone:609-440-7606
Mailing Address - Fax:
Practice Address - Street 1:604 LINCOLN AVE
Practice Address - Street 2:
Practice Address - City:PALMYRA
Practice Address - State:NJ
Practice Address - Zip Code:08065-2002
Practice Address - Country:US
Practice Address - Phone:609-440-7606
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-15
Last Update Date:2010-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ0-09-3697103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst