NPIMap

Organization Active NPI

Cross River NC

  • Behavior Analyst
  • Charlotte, NC
National Provider Identifier
1073125290
Registry record updated Sep 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
CROSS RIVER NC
Practice address
716 East Blvd
Charlotte, NC 28203-5114
Phone
(919) 375-0475
Fax
(919) 928-5528
NPI assigned
Aug 19, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Steven Zauderer
Title
Ceo
Phone
(919) 375-0475

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

716 East Blvd
Charlotte, NC 28203-5114

Mailing address

716 East Blvd
Charlotte, NC 28203-5114
Phone (919) 375-0475

Other practice location 1

2530 Meridian Pkwy Ste 300
Durham, NC 27713-5273
Phone (919) 375-0475

National Provider Directory

National Provider Directory

Locations

716 East Blvd
Charlotte, NC 28203
Phone (480) 433-9545

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1597795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757980800000",
    "number": "1073125290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "716 EAST BLVD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282035114",
            "telephone_number": "919-375-0475",
            "fax_number": "919-928-5528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "716 EAST BLVD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282035114",
            "telephone_number": "919-375-0475",
            "fax_number": "919-928-5528"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2530 Meridian Pkwy Ste 300",
            "address_purpose": "LOCATION",
            "city": "Durham",
            "state": "NC",
            "postal_code": "277135273",
            "country_code": "US",
            "telephone_number": "919-375-0475",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CROSS RIVER NC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-19",
        "last_updated": "2025-09-16",
        "certification_date": "2025-09-16",
        "status": "A",
        "authorized_official_last_name": "ZAUDERER",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "919-375-0475"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.