Healthcare Provider Details

I. General information

NPI: 1356258784
Provider Name (Legal Business Name): CROSS RIVER THERAPY MO
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/24/2026
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2800 W 76 COUNTRY BLVD STE 200
BRANSON MO
65616-2291
US

IV. Provider business mailing address

2800 W 76 COUNTRY BLVD STE 200
BRANSON MO
65616-2291
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