Healthcare Provider Details

I. General information

NPI: 1801404884
Provider Name (Legal Business Name): BANCROFT, A NEW JERSEY NONPROFIT CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/16/2020
Last Update Date: 11/08/2023
Certification Date: 11/08/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 WHITE HORSE RD
VOORHEES NJ
08043-4406
US

IV. Provider business mailing address

1255 CALDWELL RD
CHERRY HILL NJ
08034-3220
US

V. Phone/Fax

Practice location:
  • Phone: 856-524-7243
  • Fax:
Mailing address:
  • Phone: 856-324-3242
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: MS. JENNIFER CRIPPS
Title or Position: CHIEF FUNANCIAL OFFICER
Credential:
Phone: 856-348-1196