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KEZIA WALLERSON
NPI 1831041730
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Montclair, NJ

Active since February 12, 2026
25 HIGH ST APT C1, MONTCLAIR, NJ 07042(315) 415-7148 Get Directions Write a Review

NPPES record last updated: February 12, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kezia Wallerson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEZIA WALLERSON (NPI 1831041730) is an individual community based residential treatment facility, intellectual and/or developmental disabilities provider in Montclair, New Jersey and active in the NPI registry since February 2026.

NPPES Registry Identity

NPI1831041730
Entity TypeIndividualFemale
Primary Taxonomy320900000X
Provider Legal NameKEZIA WALLERSON
Location Address25 HIGH ST APT C1Montclair, NJ 07042-2452
Mailing Address25 High St Apt C1Montclair, NJ 07042-2452 · (315) 415-7148
Phone(315) 415-7148
Sole ProprietorYes
Enumeration DateFebruary 12, 2026
NPPES CertifiedFebruary 12, 2026
✔ NPI 1831041730 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320900000X
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
Also ListedPsychologist · Intellectual and Developmental DisabilitiesTaxonomy 103TM1800X
Also ListedNutritionist · Nutrition, EducationTaxonomy 133NN1002X
Also ListedSpecialistTaxonomy 174400000X
Also ListedHealth EducatorTaxonomy 174H00000X
25 HIGH ST APT C1, Montclair, NJ 07042
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRIGHTPATH SUPPORT SERVICES LLC
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
25 HIGH ST APT C1
MONTCLAIR, NJ 07042
Essex County (315) 415-7148

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kezia Wallerson's NPI number?

The NPI number for Kezia Wallerson is 1831041730. It was assigned to this individual provider in the NPPES registry on February 12, 2026.

Where is Kezia Wallerson located?

Kezia Wallerson practices at 25 High St Apt C1, Montclair, NJ 07042. The listed phone number is (315) 415-7148.

What is Kezia Wallerson's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Kezia Wallerson was last updated on February 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.