Provider Demographics
NPI:1114683331
Name:OTTE, LINDSAY MORGAN (BCBA)
Entity Type:Individual
Prefix:
First Name:LINDSAY
Middle Name:MORGAN
Last Name:OTTE
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:LINDSAY
Other - Middle Name:MORGAN
Other - Last Name:SILVERMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:250 WILSON ST
Mailing Address - Street 2:
Mailing Address - City:SADDLE BROOK
Mailing Address - State:NJ
Mailing Address - Zip Code:07663-4927
Mailing Address - Country:US
Mailing Address - Phone:860-810-9155
Mailing Address - Fax:
Practice Address - Street 1:424 CENTRAL AVE STE 2
Practice Address - Street 2:
Practice Address - City:WESTFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07090-2561
Practice Address - Country:US
Practice Address - Phone:908-558-7500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-11
Last Update Date:2021-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJBACB385666103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst