IndividualActive
Kristen Wallace
NPI 1619548336 · Behavior Analyst · Charlotte, NC
Kristen Wallace is a Behavior Analyst provider in Charlotte, NC (NPI 1619548336).
Provider details
- NPI number
- 1619548336
- Entity type
- Individual
- Primary specialty
- Behavior AnalystBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 1-21-51057 (NC)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% 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
834 Tyvola Rd Ste 126
Charlotte, NC 28217-3598
Phone: (980) 785-1113
Fax: (980) 785-1114
Street-level locationGet directions
Mailing address
2810 Coliseum Centre Dr Ste 520
Charlotte, NC 28217-3252
Registry dates
- Enumerated
- 2021-07-03
- Last updated
- 2024-07-24
- Certified
- 2024-07-22
Frequently asked questions
- What is Kristen Wallace's NPI number?
- Kristen Wallace's National Provider Identifier (NPI) is 1619548336, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kristen Wallace's specialty?
- Kristen Wallace is listed in the NPPES registry with a primary specialty of Behavior Analyst (Behavioral Health & Social Service Providers).
- Where is Kristen Wallace located?
- Kristen Wallace's practice location on file with NPPES is 834 Tyvola Rd Ste 126, Charlotte, NC 28217-3598.
- What is Kristen Wallace's phone number?
- The practice phone number listed in the NPPES registry for Kristen Wallace is (980) 785-1113.
- Is Kristen Wallace's NPI active?
- Yes — Kristen Wallace's NPI (1619548336) is active in the NPPES registry as of the last update on 2024-07-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.