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

Shane Rolanda Wilson

Individual provider Behavior Analyst · NPI 1609426543

Shane Rolanda Wilson is a Behavior Analyst in Raleigh, North Carolina. Works from 2 locations. Licensed in North Carolina.

Licensed in
NC
In the registry since
2019
Specialties on file
3

Practice location Address checks out

5121 Kingdom Way Ste 100
Raleigh, NC 27607-6063
Phone: (919) 743-0204
Show map & directions

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

Additional practice locations (1)

  • 300 Market St Ste 200, Chapel Hill, NC 27516-4493 — (984) 528-8787

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X · Licence 1447 (NC)
Behavior Analyst Taxonomy 103K00000X
Behavior Technician Taxonomy 106S00000X

Record details

NPI number1609426543
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 12, 2019
Last updated in NPPESNovember 4, 2024
Certification dateNovember 4, 2024
Mailing address5121 Kingdom Way Ste 100, Raleigh, NC 27607-6063

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