Xanadu Behavior Therapy
Behavior Analyst in Forked River, New Jersey
1992933634- Practice location
- 615 Lacey RD, Suite 3, Forked River, NJ 08731-2200
- Phone
- 609-242-3322
- Fax
- 609-242-3333
- Last updated
- February 25, 2013
Xanadu Behavior Therapy is a healthcare organization based in Forked River, NJ. Xanadu Behavior Therapy practices in Forked River, NJ. The NPI Number for Xanadu Behavior Therapy is 1992933634 and holds a License No. 44SL04976200 (NJ). The current practice location address for Xanadu Behavior Therapy is 615 Lacey RD, Suite 3, Forked River, NJ 08731-2200 and can be reached out via phone at 609-242-3322 and via fax at 609-242-3333.
Provider Profile Details
- NPI Number
- 1992933634
- Provider Name
- Xanadu Behavior Therapy
- Provider Entity Type
- Organization
- Address
- 615 Lacey RD, Suite 3, Forked River, NJ 08731-2200
- Phone Number
- 609-242-3322
- Fax Number
- 609-242-3333
- Primary Taxonomy
- Behavior Analyst · 103K00000X
- Organization Subpart
- No
- Authorized Official
- Ms. Stacie Groeling · Executive Director · 609-242-3322
- Provider Enumeration Date
- July 1, 2009
- Last Update Date
- February 25, 2013
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 615 Lacey RD
Suite 3
Forked River, NJ 08731-2200 - City
- Forked River
- State
- New Jersey
- Zip
- 08731-2200
- Phone Number
- 609-242-3322
- Fax Number
- 609-242-3333
Provider Business Mailing Address Details
- Address
- 615 Lacey RD
Suite 3
Forked River, NJ 08731-2200 - City
- Forked River
- State
- NJ
- Zip
- 08731-2200
- Phone Number
- 609-242-3322
- Fax Number
- 609-242-3333
License Information
- License Number (1)
- 44SL04976200
- License State (1)
- NJ
- Taxonomy (1)
- Social Worker · 104100000X
- License Number (2)
- 0-06-2178
- License State (2)
- NJ
- Taxonomy (2)
- Behavior Analyst · 103K00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Xanadu Behavior Therapy?
The NPI number of Xanadu Behavior Therapy is 1992933634. It was assigned on July 1, 2009 and is currently active in the NPPES registry.
What is the specialty of Xanadu Behavior Therapy?
Xanadu Behavior Therapy is registered under the primary taxonomy Behavior Analyst (code 103K00000X), licensed in NJ under license number 44SL04976200.
Where does Xanadu Behavior Therapy practice?
The practice location is 615 Lacey RD, Suite 3, Forked River, NJ 08731-2200. The office can be reached at 609-242-3322 (phone) or 609-242-3333 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1992933634 directly on the NPPES registry website.