Healthcare Provider Details

I. General information

NPI: 1891282919
Provider Name (Legal Business Name): CHRISTOPHER J TALLMADGE M.A., BCBA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/13/2018
Last Update Date: 09/25/2025
Certification Date: 09/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

923 HADDONFIELD RD STE 300
CHERRY HILL NJ
08002-2752
US

IV. Provider business mailing address

57 RIVER BANK DR
ROEBLING NJ
08554-1522
US

V. Phone/Fax

Practice location:
  • Phone: 609-686-4640
  • Fax:
Mailing address:
  • Phone: 609-987-0099
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number01-18-29675
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: