Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Braxton Lee Fonville

Individual provider Behavior Technician · NPI 1487267563

Braxton Lee Fonville is a Behavior Technician in Winston Salem, North Carolina. Registered with an NPI since 2020.

In the registry since
2020

Practice location Address checks out

1959 N Peace Haven Rd Ste 104
Winston Salem, NC 27106-4850
Phone: (336) 560-7878
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1487267563
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 28, 2020
Last updated in NPPESAugust 28, 2020
Certification dateAugust 19, 2020

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