Khaira-Nisaa Hicks Wallace
Khaira-Nisaa Hicks Wallace is a Behavior Technician in Charlotte, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.
- Licensed in
- NC
- In the registry since
- 2025
Practice location Address checks out
1300 Baxter St Ste 450Charlotte, NC 28204-3026
Phone: (704) 366-1075
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X · Licence RBT-24-398908 (NC) |
|---|
Record details
| NPI number | 1417818113 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | November 21, 2025 |
| Last updated in NPPES | November 21, 2025 |
| Certification date | November 21, 2025 |
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