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RAVEN WALLACE
NPI 1417634718
Behavior Technician in Winston Salem, NC

Active since June 29, 2023
8025 N POINT BLVD STE 100, WINSTON SALEM, NC 27106(704) 780-4271 Get Directions Write a Review

NPPES record last updated: June 29, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Raven Wallace NPPES

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

RAVEN WALLACE (NPI 1417634718) is an individual behavior technician in Winston Salem, North Carolina and active in the NPI registry since June 2023.

NPPES Registry Identity

NPI1417634718
Entity TypeIndividualFemale
Primary Taxonomy106S00000X
Provider Legal NameRAVEN WALLACE
Location Address8025 N POINT BLVD STE 100Winston Salem, NC 27106-3291
Mailing Address8025 N Point Blvd Ste 100Winston Salem, NC 27106-3291 · (704) 780-4271
Phone(704) 780-4271
Sole ProprietorNo
Enumeration DateJune 29, 2023
NPPES CertifiedJune 29, 2023
✔ NPI 1417634718 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.
8025 N POINT BLVD STE 100, Winston Salem, NC 27106
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Other Providers at the Same Location NPPES 20

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

BRENDA BLITTERSDORF
Behavior Technician
8025 N POINT BLVD STE 100
WINSTON SALEM, NC 27106
Forsyth County (704) 780-4271
QUATAVIUS LINNEY
Behavior Technician
8025 N POINT BLVD STE 100
WINSTON SALEM, NC 27106
Forsyth County (704) 780-4271
JULYSSA HERRERA
Behavior Technician
8025 N POINT BLVD STE 100
WINSTON SALEM, NC 27106
Forsyth County (704) 780-4271
SARA JIMENEZ
Behavior Analyst
8025 N POINT BLVD STE 100
WINSTON SALEM, NC 27106
Forsyth County (704) 780-4271
KEERICA PAULING
Behavior Technician
8025 N POINT BLVD STE 100
WINSTON SALEM, NC 27106
Forsyth County (704) 780-4271
SIERRA CONN
Behavior Technician
8025 N POINT BLVD STE 100
WINSTON SALEM, NC 27106
Forsyth County (704) 780-4271
SKYLAR TAYLOR
Behavior Technician
8025 N POINT BLVD STE 100
WINSTON SALEM, NC 27106
Forsyth County (704) 780-4271
KRYSTAL CONNER
Behavior Technician
8025 N POINT BLVD STE 100
WINSTON SALEM, NC 27106
Forsyth County (704) 781-4271

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 Raven Wallace's NPI number?

The NPI number for Raven Wallace is 1417634718. It was assigned to this individual provider in the NPPES registry on June 29, 2023.

Where is Raven Wallace located?

Raven Wallace practices at 8025 N Point Blvd Ste 100, Winston Salem, NC 27106. The listed phone number is (704) 780-4271.

What is Raven Wallace'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 Raven Wallace was last updated on June 29, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.