Xanadu Behavior Therapy
NPI #1992933634 in Forked River, New Jersey
Provider Information
- NPI Number
- 1992933634
- Entity Type
- Organization
- Organization Name
- Xanadu Behavior Therapy
- Primary Specialty
- Behavior Analyst
- Enumeration Date
- Jul 1, 2009
- Last Updated
- Feb 25, 2013
Practice Location
- Address
- 615 LACEY RD
- Address 2
- SUITE 3
- City
- Forked River
- State
- New Jersey
- ZIP Code
- 08731-2200
- Phone
- (609) 242-3322
Authorized Official
- Name
- MS. STACIE GROELING
- Title
- EXECUTIVE DIRECTOR
- Phone
- (609) 242-3322
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker |
| Behavior Analyst |
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