KIMBERLEY ALYSON BLACK
NPI 1043034572
Behavior Technician in Winston Salem, NC

Active since November 12, 2024
1959 N PEACE HAVEN RD # 104, WINSTON SALEM, NC 27106(336) 469-0805 Get Directions Write a Review

NPPES record last updated: November 12, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kimberley Alyson Black NPPES

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

KIMBERLEY ALYSON BLACK (NPI 1043034572) is an individual behavior technician in Winston Salem, North Carolina and active in the NPI registry since November 2024.

NPPES Registry Identity

NPI1043034572
Entity TypeIndividualFemale
Primary Taxonomy106S00000X
Provider Legal NameKIMBERLEY ALYSON BLACK
Location Address1959 N PEACE HAVEN RD # 104Winston Salem, NC 27106-4850
Mailing Address8311 Brier Creek Pkwy Ste 105-501Raleigh, NC 27617-7328 · (336) 560-7878
Sole ProprietorNo
Enumeration DateNovember 12, 2024
NPPES CertifiedNovember 12, 2024
NPI 1043034572 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyBehavior TechnicianBehavioral Health & Social Service Providers
Taxonomy Code106S00000X
Definition
The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.
1959 N PEACE HAVEN RD # 104, Winston Salem, NC 27106

Other Providers at the Same Location NPPES 12

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

Behavior Technician
1959 N PEACE HAVEN RD # 104
WINSTON SALEM, NC 27106
Behavior Analyst
1959 N PEACE HAVEN RD # 104
WINSTON SALEM, NC 27106
Behavior Technician
1959 N PEACE HAVEN RD # 104
WINSTON SALEM, NC 27106
Behavior Technician
1959 N PEACE HAVEN RD # 104
WINSTON SALEM, NC 27106
Clinic/Center
1959 N PEACE HAVEN RD # 104
WINSTON SALEM, NC 27106
Behavior Analyst
1959 N PEACE HAVEN RD # 104
WINSTON SALEM, NC 27106
Behavior Analyst
1959 N PEACE HAVEN RD # 104
WINSTON SALEM, NC 27106
Behavior Technician
1959 N PEACE HAVEN RD # 104
WINSTON SALEM, NC 27106

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 Kimberley Black's NPI number?

The NPI number for Kimberley Black is 1043034572. It was assigned to this individual provider in the NPPES registry on November 12, 2024.

Where is Kimberley Black located?

Kimberley Black practices at 1959 N Peace Haven Rd # 104, Winston Salem, NC 27106. The listed phone number is (336) 469-0805.

What is Kimberley Black's specialty?

The primary specialty registered for this NPI is Behavior Technician with taxonomy code 106S00000X.

When was this NPI record last updated?

The NPPES record for Kimberley Black was last updated on November 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.