Xanadu Behavior Therapy

Behavior Analyst · Forked River, NJ

Organization Active NPI

NPI number 1992933634

Practice location

615 Lacey Rd
Suite 3
Forked River, NJ 08731-2200
Phone
(609) 242-3322
Fax
(609) 242-3333

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NPI record

NPI
1992933634
Entity type
Organization (Type 2)
Enumeration date
July 1, 2009
Last updated
February 25, 2013
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Analyst Primary 103K00000X 0-06-2178 NJ
Social Worker 104100000X 44SL04976200 NJ

Authorized official

Name
Ms. Stacie Groeling
Title
Executive Director
Phone
(609) 242-3322

About Xanadu Behavior Therapy

Xanadu Behavior Therapy is a healthcare organization registered in the NPI registry with the primary taxonomy Behavior Analyst (code 103K00000X). The practice location is 615 Lacey Rd, Suite 3, Forked River, NJ 08731-2200. The NPI number 1992933634 was assigned on July 1, 2009 and the record was last updated on February 25, 2013.

Xanadu Behavior Therapy lists 2 licenses in the registry: #0-06-2178 (NJ) for Behavior Analyst; #44SL04976200 (NJ) for Social Worker. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Ms. Stacie Groeling, Executive Director.

Frequently asked questions

What is the NPI number of Xanadu Behavior Therapy?

The NPI number is 1992933634.

What is the phone number of Xanadu Behavior Therapy?

The phone number listed for the practice location is (609) 242-3322.

Where is Xanadu Behavior Therapy located?

615 Lacey Rd, Suite 3, Forked River, NJ 08731-2200.

What is the taxonomy code for Xanadu Behavior Therapy?

The primary taxonomy code is 103K00000X – Behavior Analyst; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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