Active NPI
Holistic Behavior Collaborative LLC
- Behavior Analyst
- Somerdale, NJ
National Provider Identifier
1497423271
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Legal business name
- HOLISTIC BEHAVIOR COLLABORATIVE LLC
- Practice address
- 776 Wyngate Rd
Somerdale, NJ 08083-2413 - Phone
- (609) 864-5839
- NPI assigned
- Sep 5, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Justyne Uldschmidt, BCBA
- Title
- Ceo
- Phone
- (609) 864-5839
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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Primary | ||
| Assistant Behavior Analyst | 106E00000X | |||
| Behavior Technician | 106S00000X |
Addresses
Primary practice location
776 Wyngate Rd
Somerdale, NJ 08083-2413
Mailing address
776 Wyngate Rd
Somerdale, NJ 08083-2413
Phone (609) 864-5839
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 904856 | Medicaid | NJ |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Behavior Analyst
- Somerdale, NJ
- NPI 1588151963
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630800000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1760572800000",
"number": "1497423271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "776 WYNGATE RD",
"city": "SOMERDALE",
"state": "NJ",
"postal_code": "080832413",
"telephone_number": "609-864-5839"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "776 WYNGATE RD",
"city": "SOMERDALE",
"state": "NJ",
"postal_code": "080832413",
"telephone_number": "609-864-5839"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOLISTIC BEHAVIOR COLLABORATIVE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-09-05",
"last_updated": "2025-10-16",
"certification_date": "2025-10-16",
"status": "A",
"authorized_official_last_name": "ULDSCHMIDT",
"authorized_official_first_name": "JUSTYNE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "609-864-5839",
"authorized_official_credential": "BCBA"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
},
{
"code": "106E00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Assistant Behavior Analyst",
"state": null,
"license": null,
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "904856",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Somerdale, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 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.