Nathaniel Zachariah Runck, MA, LBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

LBA0880 Issued in MN

Practice address

816 Portland Ave Apt 1316
Minneapolis, MN 55404-4625

Phone

(507) 430-9138

NPI assigned

Aug 4, 2021

Last updated

Jan 30, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Northway Academy, Inc.

  • Community/Behavioral Health Agency
  • Elk River, MN
  • NPI 1114539434
  NPD
• Northway Academy, Inc.

  • Developmental Disabilities Clinic/Center
  • Saint Cloud, MN
  • NPI 1104333715
  NPD (past)

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

{
    "created_epoch": "1628035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769731200000",
    "number": "1235803180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "816 PORTLAND AVE APT 1316",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554044625",
            "telephone_number": "507-430-9138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "816 PORTLAND AVE APT 1316",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554044625",
            "telephone_number": "507-430-9138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUNCK",
        "first_name": "NATHANIEL",
        "middle_name": "ZACHARIAH",
        "credential": "MA, LBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-04",
        "last_updated": "2026-01-30",
        "certification_date": "2026-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MN",
            "license": "LBA0880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bretton Lee Ruiter, MD
• Miguel A Ruiz Diaz, MD
• Abigail L Rummel
• Laci Marie Rumpza, LPC
• Robin Rumsey, PHD
• Paige Runde, LPCC
• Chandler William Rundle, MD
• Stephanie Rundquist-Hanson
• Peter James Rundquist, PHD
• Hannah Runez

• Behavior Analyst in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Behavior Analyst in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2026; 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.