SHANISSE WYMAN
NPI 1245860188
Behavior Analyst in Winston Salem, NC

Active since January 20, 2020
1405 S BROAD ST, WINSTON SALEM, NC 27127(347) 872-8853 Get Directions Write a Review

NPPES record last updated: February 20, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 20, 2025, Jan 20, 2020 (2 updates tracked since 2020).

About Shanisse Wyman NPPES

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

SHANISSE WYMAN (NPI 1245860188) is an individual behavior analyst provider in Winston Salem, North Carolina, licensed in North Carolina (1-24-78475) and active in the NPI registry since January 2020.

NPPES Registry Identity

NPI1245860188
Entity TypeIndividualFemale
Primary Taxonomy103K00000X
Provider Legal NameSHANISSE WYMAN
Location Address1405 S BROAD STWinston Salem, NC 27127-2068
Mailing Address27777 Inkster Rd Ste 100Farmington Hills, MI 48334-5312
Sole ProprietorNo
Enumeration DateJanuary 20, 2020
Last NPPES UpdateFebruary 20, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 20, 2025
NPI 1245860188 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers
Taxonomy Code103K00000X
License Licensed in NC · 1-24-78475
Definition
A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.
1405 S BROAD ST, Winston Salem, NC 27127

Accepted Insurance

Other Providers at the Same Location NPPES 8

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

Behavior Analyst
1405 S BROAD ST
WINSTON SALEM, NC 27127
Behavior Analyst
1405 S BROAD ST
WINSTON SALEM, NC 27127
Behavior Analyst
1405 S BROAD ST
WINSTON SALEM, NC 27127
Behavior Analyst
1405 S BROAD ST
WINSTON SALEM, NC 27127
Behavior Analyst
1405 S BROAD ST
WINSTON SALEM, NC 27127
Behavior Analyst
1405 S BROAD ST
WINSTON SALEM, NC 27127
Behavior Analyst
1405 S BROAD ST
WINSTON SALEM, NC 27127
Behavior Analyst
1405 S BROAD ST
WINSTON SALEM, NC 27127

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 Shanisse Wyman's NPI number?

The NPI number for Shanisse Wyman is 1245860188. It was assigned to this individual provider in the NPPES registry on January 20, 2020.

Where is Shanisse Wyman located?

Shanisse Wyman practices at 1405 S Broad St, Winston Salem, NC 27127. The listed phone number is (347) 872-8853.

What is Shanisse Wyman's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

What insurance does Shanisse Wyman accept?

Health plans from Blue Cross and Blue Shield of NC list Shanisse Wyman as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shanisse Wyman was last updated on February 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.