Healthcare Provider Details

I. General information

NPI: 1982402947
Provider Name (Legal Business Name): LINDSEY TAYLOR CRAMER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/05/2025
Last Update Date: 03/05/2025
Certification Date: 03/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1104 US-130 SUITE J
CINNAMINSON NJ
08077
US

IV. Provider business mailing address

1 ARMY DR
DELRAN NJ
08075-1703
US

V. Phone/Fax

Practice location:
  • Phone: 856-381-4622
  • Fax:
Mailing address:
  • Phone: 856-723-2878
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License NumberRBT-25-405017
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: