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KRISTEN NICOLE WALLACE
NPI 1619548336
Behavior Analyst in Charlotte, NC

Active since July 03, 2021
834 TYVOLA RD STE 126, CHARLOTTE, NC 28217(980) 785-1113(980) 785-1114 Get Directions Write a Review

NPPES record last updated: July 24, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 24, 2024, Aug 2, 2022, Jul 3, 2021 (3 updates tracked since 2021).

About Kristen Nicole Wallace NPPES

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

KRISTEN NICOLE WALLACE (NPI 1619548336) is an individual behavior analyst provider in Charlotte, North Carolina, licensed in North Carolina (1-21-51057) and active in the NPI registry since July 2021.

NPPES Registry Identity

NPI1619548336
Entity TypeIndividualFemale
Primary Taxonomy103K00000X
Provider Legal NameKRISTEN NICOLE WALLACE
Location Address834 TYVOLA RD STE 126Charlotte, NC 28217-3598
Mailing Address2810 Coliseum Centre Dr Ste 520Charlotte, NC 28217-3252 · (980) 785-1113 · Fax (980) 785-1114
Phone(980) 785-1113
Fax(980) 785-1114
Sole ProprietorNo
Enumeration DateJuly 3, 2021
Last NPPES UpdateJuly 24, 20243 updates tracked since enumeration
NPPES CertifiedJuly 22, 2024
✔ NPI 1619548336 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 · 1-21-51057
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.
834 TYVOLA RD STE 126, Charlotte, NC 28217
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, Oscar Health Plan of North Carolina, Inc.Insurance ›

Other Providers at the Same Location NPPES

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

ADAM SNIDER BCBA
Behavior Analyst
834 TYVOLA RD STE 126
CHARLOTTE, NC 28217
Mecklenburg County (980) 785-1113

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 Kristen Wallace's NPI number?

The NPI number for Kristen Wallace is 1619548336. It was assigned to this individual provider in the NPPES registry on July 3, 2021.

Where is Kristen Wallace located?

Kristen Wallace practices at 834 Tyvola Rd Ste 126, Charlotte, NC 28217. The listed phone number is (980) 785-1113.

What is Kristen Wallace's specialty?

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

What insurance does Kristen Wallace accept?

Health plans from Blue Cross and Blue Shield of NC and Oscar Health Plan of North Carolina, Inc list Kristen Wallace 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 Kristen Wallace was last updated on July 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.