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

Shanisse Wyman

Individual provider Behavior Analyst · NPI 1245860188

Shanisse Wyman is a Behavior Analyst in Winston Salem, North Carolina. Licensed in North Carolina. Registered with an NPI since 2020.

Licensed in
NC
In the registry since
2020

Practice location Address checks out

1405 S Broad St
Winston Salem, NC 27127-2068
Phone: (347) 872-8853
Show map & directions

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

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X · Licence 1-24-78475 (NC)

Record details

NPI number1245860188
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 20, 2020
Last updated in NPPESFebruary 20, 2025
Certification dateFebruary 20, 2025

Other providers in Winston Salem