NPIMap

Organization Active NPI

House of Walden LLC

  • Behavior Analyst
  • Freehold, NJ
National Provider Identifier
1104519776
Registry record updated May 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
HOUSE OF WALDEN LLC
Practice address
24 Manchester CT Apt B
Freehold, NJ 07728-3274
Phone
(908) 340-9599
NPI assigned
May 31, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2023

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

Authorized official

Name
Zachry Munson, BCBANPI 1447844378
Title
Ceo
Phone
(908) 340-9599

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

24 Manchester CT Apt B
Freehold, NJ 07728-3274

Mailing address

24 Manchester CT Apt B
Freehold, NJ 07728-3274
Phone (908) 340-9599

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1685491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685491200000",
    "number": "1104519776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 MANCHESTER CT APT B",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077283274",
            "telephone_number": "908-340-9599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 MANCHESTER CT APT B",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077283274",
            "telephone_number": "908-340-9599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOUSE OF WALDEN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-31",
        "last_updated": "2023-05-31",
        "certification_date": "2023-05-31",
        "status": "A",
        "authorized_official_last_name": "MUNSON",
        "authorized_official_first_name": "ZACHRY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "908-340-9599",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Freehold, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2023; 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.