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

Kimberley Alyson Black

Individual provider Behavior Technician · NPI 1043034572

Kimberley Alyson Black is a Behavior Technician in Winston Salem, North Carolina. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

1959 N Peace Haven Rd # 104
Winston Salem, NC 27106-4850
Phone: (336) 469-0805
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 number1043034572
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 12, 2024
Last updated in NPPESNovember 12, 2024
Certification dateNovember 12, 2024

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