KENOSHA ARCHIE-WALLACE
NPI 1629902192
Behavior Technician in Statesboro, GA
About Kenosha Archie-wallace NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KENOSHA ARCHIE-WALLACE (NPI 1629902192) is an individual behavior technician in Statesboro, Georgia and active in the NPI registry since June 2026.
NPPES Registry Identity
Specialties & Licenses
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.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Kenosha Archie-wallace's NPI number?
The NPI number for Kenosha Archie-wallace is 1629902192. It was assigned to this individual provider in the NPPES registry on June 10, 2026.
Where is Kenosha Archie-wallace located?
Kenosha Archie-wallace practices at 2760 Northside Dr W, Statesboro, GA 30458. The listed phone number is (912) 208-2024.
What is Kenosha Archie-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 Kenosha Archie-wallace was last updated on June 10, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.