Individual provider · Type 1 NPI
Kezia Wallerson
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Montclair, NJ
Practice location
25 High St Apt C1
Montclair, NJ 07042-2452
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual & Developmental Disabilities Psychologist | 103TM1800X | None listed |
| Nutrition Education Nutritionist | 133NN1002X | None listed |
| Specialist | 174400000X | None listed |
| Health Educator | 174H00000X | None listed |
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary | 320900000X | None listed |
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
Another provider at this address
Other intellectual and/or developmental disabilities community based residential treatment facility providers in Montclair
About NPI 1831041730
Kezia Wallerson's National Provider Identifier is 1831041730, issued on Feb 12, 2026. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Montclair, NJ. The record was last updated on Feb 12, 2026.