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WALLETTA TARIESE BYNUM
NPI 1508530163
Behavior Technician in Lithonia, GA

Active since August 05, 2021
5461 HILLANDALE DR, LITHONIA, GA 30058(866) 610-0580 Get Directions Write a Review

NPPES record last updated: August 5, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Walletta Tariese Bynum NPPES

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

WALLETTA TARIESE BYNUM (NPI 1508530163) is an individual behavior technician in Lithonia, Georgia and active in the NPI registry since August 2021.

NPPES Registry Identity

NPI1508530163
Entity TypeIndividualFemale
Primary Taxonomy106S00000X
Provider Legal NameWALLETTA TARIESE BYNUM
Location Address5461 HILLANDALE DRLithonia, GA 30058-4841
Mailing Address300 International PkwyLake Mary, FL 32746-5035 · (866) 610-0580
Phone(866) 610-0580
Sole ProprietorNo
Enumeration DateAugust 5, 2021
NPPES CertifiedAugust 5, 2021
✔ NPI 1508530163 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.

5461 HILLANDALE DR, Lithonia, GA 30058
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Other Providers at the Same Location NPPES 7

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

DR. LAURYN PATRICE PHILLIPS D.D.S.
Dentist
5461 HILLANDALE DR, AUITE 200
LITHONIA, GA 30058
Dekalb County (770) 778-4842
SOUTHEAST ATLANTA VASCULAR CARE, LLC
Surgery (Vascular Surgery)
5461 HILLANDALE DR, SUITE 210
LITHONIA, GA 30058
Dekalb County (770) 981-8477
ALLIYAH SYMONE KING
Behavior Technician
5461 HILLANDALE DR, SUITE 100
LITHONIA, GA 30058
Dekalb County (470) 361-2976
EVONDA DAVIS
Behavior Technician
5461 HILLANDALE DR
LITHONIA, GA 30058
Dekalb County (470) 361-2976
PARAESHA DENISE ALLEN
Behavior Technician
5461 HILLANDALE DR
LITHONIA, GA 30058
Dekalb County (470) 648-8512
ASANTI BOONE
Behavior Technician
5461 HILLANDALE DR
LITHONIA, GA 30058
Dekalb County (470) 361-2976
TANYIA ROBINSON RBT
Behavior Technician
5461 HILLANDALE DR
LITHONIA, GA 30058
Dekalb County (470) 361-2976

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 Walletta Bynum's NPI number?

The NPI number for Walletta Bynum is 1508530163. It was assigned to this individual provider in the NPPES registry on August 5, 2021.

Where is Walletta Bynum located?

Walletta Bynum practices at 5461 Hillandale Dr, Lithonia, GA 30058. The listed phone number is (866) 610-0580.

What is Walletta Bynum'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 Walletta Bynum was last updated on August 5, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.