MICHELLE WALLACE
NPI 1629927389
Behavior Technician in Winston Salem, NC

Active since January 26, 2026
720 COLISEUM DR STE 92, WINSTON SALEM, NC 27106(743) 255-4568 Get Directions Write a Review

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

About Michelle Wallace NPPES

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

MICHELLE WALLACE (NPI 1629927389) is an individual behavior technician in Winston Salem, North Carolina and active in the NPI registry since January 2026.

NPPES Registry Identity

NPI1629927389
Entity TypeIndividualFemale
Primary Taxonomy106S00000X
Provider Legal NameMICHELLE WALLACE
Location Address720 COLISEUM DR STE 92Winston Salem, NC 27106-5357
Mailing Address526 Chandler StWinston Salem, NC 27101-1906
Sole ProprietorYes
Enumeration DateJanuary 26, 2026
NPPES CertifiedJanuary 26, 2026
NPI 1629927389 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.
720 COLISEUM DR STE 92, Winston Salem, NC 27106

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 14

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

Behavior Technician
720 COLISEUM DR STE 92
WINSTON SALEM, NC 27106
Behavior Technician
720 COLISEUM DR STE 92
WINSTON SALEM, NC 27106
Behavior Technician
720 COLISEUM DR STE 92
WINSTON SALEM, NC 27106
Behavior Technician
720 COLISEUM DR STE 92
WINSTON SALEM, NC 27106
Behavior Technician
720 COLISEUM DR STE 92
WINSTON SALEM, NC 27106
Behavior Technician
720 COLISEUM DR STE 92
WINSTON SALEM, NC 27106
Behavior Technician
720 COLISEUM DR STE 92
WINSTON SALEM, NC 27106
Behavior Technician
720 COLISEUM DR STE 92
WINSTON SALEM, NC 27106

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 Michelle Wallace's NPI number?

The NPI number for Michelle Wallace is 1629927389. It was assigned to this individual provider in the NPPES registry on January 26, 2026.

Where is Michelle Wallace located?

Michelle Wallace practices at 720 Coliseum Dr Ste 92, Winston Salem, NC 27106. The listed phone number is (743) 255-4568.

What is Michelle 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 Michelle Wallace was last updated on January 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.