Healthcare Provider Details

I. General information

NPI: 1144137738
Provider Name (Legal Business Name): CROSS RIVER THERAPY IA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/27/2026
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4515 N RIVER BLVD NE STE 200
CEDAR RAPIDS IA
52411-6678
US

IV. Provider business mailing address

4515 N RIVER BLVD NE STE 200
CEDAR RAPIDS IA
52411-6678
US

V. Phone/Fax

Practice location:
  • Phone: 919-375-0475
  • Fax:
Mailing address:
  • Phone: 919-375-0475
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: STEVEN ZAUDERER
Title or Position: CEO
Credential:
Phone: 919-375-0475