What is Raven Wallace's NPI number?

Raven Wallace's National Provider Identifier (NPI) is 1417634718, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Raven Wallace's specialty?

Raven Wallace is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).

Where is Raven Wallace located?

Raven Wallace's practice location on file with NPPES is 8025 N Point Blvd Ste 100, Winston Salem, NC 27106-3291.

What is Raven Wallace's phone number?

The practice phone number listed in the NPPES registry for Raven Wallace is (704) 780-4271.

Is Raven Wallace's NPI active?

Yes — Raven Wallace's NPI (1417634718) is active in the NPPES registry as of the last update on 2023-06-29.

IndividualActive

Raven Wallace

NPI 1417634718 · Behavior Technician · Winston Salem, NC

Raven Wallace is a Behavior Technician provider in Winston Salem, NC (NPI 1417634718).

Provider details

NPI number: 1417634718
Entity type: Individual
Primary specialty: Behavior TechnicianBehavioral Health & Social Service Providers
Sex: Female
Sole proprietor: No

Specialties & taxonomies

Behavior TechnicianPrimary106S00000X
Behavioral Health & Social Service Providers

Profile Score

Established profile(52/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
2 yrs 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

8025 N Point Blvd Ste 100

Winston Salem, NC 27106-3291

Phone: (704) 780-4271

Street-level locationGet directions

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Mailing address