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XANADU BEHAVIOR THERAPY NPI 1992933634


NPI Information

NPI: 1992933634
Provider Name: XANADU BEHAVIOR THERAPY
Classification: Behavior Analyst - 103K00000X
Entity Type: Organization
Address:
615 LACEY RD
SUITE 3
FORKED RIVER, NJ
ZIP 08731
Phone: (609) 242-3322
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XANADU BEHAVIOR THERAPY is a behavior analyst in Forked River, NJ. The provider is a behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans. XANADU BEHAVIOR THERAPY NPI is 1992933634. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

615 LACEY RD
SUITE 3
FORKED RIVER, NJ
ZIP 08731-200
Phone: (609) 242-3322
Fax: (609) 242-3333

The provider's authorized official is Stacie Groeling .
The authorized official title is Executive Director and has the following contact phone number (609) 242-3322.

The enumeration date for this NPI number is 7/1/2009 and was last updated on 2/25/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103K00000XBehavior Analyst0-06-2178NEW JERSEYYes
2104100000XSocial Worker44SL04976200NEW JERSEYNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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