IndividualActive
Kimberley Black
NPI 1043034572 · Behavior Technician · Winston Salem, NC
Kimberley Black is a Behavior Technician provider in Winston Salem, NC (NPI 1043034572).
Provider details
- NPI number
- 1043034572
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Basic profile(49/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1959 N Peace Haven Rd # 104
Winston Salem, NC 27106-4850
Phone: (336) 469-0805
Street-level locationGet directions
Mailing address
8311 Brier Creek Pkwy Ste 105-501
Raleigh, NC 27617-7328
Registry dates
- Enumerated
- 2024-11-12
- Last updated
- 2024-11-12
- Certified
- 2024-11-12
Frequently asked questions
- What is Kimberley Black's NPI number?
- Kimberley Black's National Provider Identifier (NPI) is 1043034572, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kimberley Black's specialty?
- Kimberley Black is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Kimberley Black located?
- Kimberley Black's practice location on file with NPPES is 1959 N Peace Haven Rd # 104, Winston Salem, NC 27106-4850.
- What is Kimberley Black's phone number?
- The practice phone number listed in the NPPES registry for Kimberley Black is (336) 469-0805.
- Is Kimberley Black's NPI active?
- Yes — Kimberley Black's NPI (1043034572) is active in the NPPES registry as of the last update on 2024-11-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.