Healthcare Provider Details

I. General information

NPI: 1255235784
Provider Name (Legal Business Name): DAVID HUNTER
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/07/2026
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2301 E EVESHAM RD STE 504
VOORHEES NJ
08043-4506
US

IV. Provider business mailing address

1121 SEA GULL LN
CHERRY HILL NJ
08003-3112
US

V. Phone/Fax

Practice location:
  • Phone: 267-667-5808
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-23-271919
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: