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

Kristen Nicole Wallace

Individual provider Behavior Analyst · NPI 1619548336

Kristen Nicole Wallace is a Behavior Analyst in Charlotte, North Carolina. Licensed in North Carolina. Registered with an NPI since 2021.

Licensed in
NC
In the registry since
2021

Practice location Address checks out

834 Tyvola Rd Ste 126
Charlotte, NC 28217-3598
Phone: (980) 785-1113
Fax: (980) 785-1114
Show map & directions

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

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X · Licence 1-21-51057 (NC)

Record details

NPI number1619548336
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 3, 2021
Last updated in NPPESJuly 24, 2024
Certification dateJuly 22, 2024

Other providers in Charlotte