| House Of Walden Llc | |
|
24 Manchester Ct Apt B Freehold NJ 07728-3274 | |
| (908) 340-9599 | |
| Not Available |
| Full Name | House Of Walden Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 24 Manchester Ct Apt B, Freehold, New Jersey |
| Authorized Official Name and Position | Zachry Munson (CEO) |
| Authorized Official Contact | 9083409599 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| House Of Walden Llc 24 Manchester Ct Apt B Freehold NJ 07728-3274 Ph: (908) 340-9599 | House Of Walden Llc 24 Manchester Ct Apt B Freehold NJ 07728-3274 Ph: (908) 340-9599 |
| NPI Number | 1104519776 |
|---|---|
| Provider Enumeration Date | 05/31/2023 |
| Last Update Date | 05/31/2023 |
| Certification Date | 05/31/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104519776 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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