Healthcare Provider Details

I. General information

NPI: 1093359978
Provider Name (Legal Business Name): NEXUS AUTISM INTERVENTION SERVICES INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/04/2019
Last Update Date: 11/04/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

108 CENTRE BLVD STE A
MARLTON NJ
08053-4132
US

IV. Provider business mailing address

108 CENTRE BLVD STE A
MARLTON NJ
08053-4132
US

V. Phone/Fax

Practice location:
  • Phone: 856-988-8888
  • Fax:
Mailing address:
  • Phone: 856-988-8888
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number StateNULL

VIII. Authorized Official

Name: DR. ALAN SCHNEE
Title or Position: DIRECTOR
Credential: PH.D, BCBA-D
Phone: 856-988-8888