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

Individual provider Behavior Technician · NPI 1417615907

Shane Wisenburg, RBT is a Behavior Technician in Virginia Beach, Virginia. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
RBT — Registered Behavior Technician
Delivers behaviour therapy under a behaviour analyst's supervision.

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Practice location Address checks out

380 Cleveland Pl # B
Virginia Beach, VA 23462-6529
Phone: (757) 416-5290
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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 BACB734630

Record details

NPI number1417615907
Entity typeIndividual (Type 1)
GenderMale
Credentials RBT
Sole proprietorNo
NPI enumeratedDecember 2, 2021
Last updated in NPPESDecember 2, 2021
Certification dateDecember 2, 2021

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