Healthcare Provider Details

I. General information

NPI: 1720903222
Provider Name (Legal Business Name): TAYLOR LUNEMANN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/12/2026
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8 CHERRYWOOD DR
CLEMENTON NJ
08021-5612
US

IV. Provider business mailing address

129 CEDAR AVE
WESTVILLE NJ
08093-1412
US

V. Phone/Fax

Practice location:
  • Phone: 856-566-1004
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-25-86704
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: