Healthcare Provider Details

I. General information

NPI: 1699522367
Provider Name (Legal Business Name): BEHAVIOR AND DEVELOPMENT SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/01/2024
Last Update Date: 11/25/2025
Certification Date: 11/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

123 CANOE BROOK PKWY
SUMMIT NJ
07901-1404
US

IV. Provider business mailing address

123 CANOE BROOK PKWY
SUMMIT NJ
07901-1404
US

V. Phone/Fax

Practice location:
  • Phone: 732-648-8153
  • Fax:
Mailing address:
  • Phone: 732-648-8153
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code222Q00000X
TaxonomyDevelopmental Therapist
License Number
License Number State

VIII. Authorized Official

Name: DR. COURTNEY LYNCH
Title or Position: CEO
Credential: PH.D.
Phone: 732-648-8153