KENYA WYNN (NPI# 1689165144) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689165144 |
| Entity Type | Individual |
| Full Name | KENYA WYNN |
| Practice Address |
418b W Mountain St Ste B Kernersville NC 27284-2534 |
| Mailing Address |
418 W Mountain St Ste B Kernersville NC 27284-2534 |
| Practice Telephone | 8016142587 |
| Mailing Telephone | 8016142587 |
| Enumeration Date | 2018-05-21 |
| Last Update Date | 2020-07-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 103K00000X | Behavioral Analyst | 1-20-42838 | NC | Behavioral Health & Social Service Providers |
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| Street Address |
418B W MOUNTAIN ST STE B |
| City | KERNERSVILLE |
| State | NC |
| Zip Code | 27284-2534 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013549047 | Katie Lee Sherman | Student in an Organized Health Care Education/Training Program | 9372 Pumpkin Ridge Rd, Kernersville, NC 27284 | 2020-02-07 |
| 1861049231 | Bethany Medical Center | Internal Medicine | 975 Hwy 66 S, Kernersville, NC 27284 | 2019-08-21 |
| 1114490810 | Lindsey Sarvis | Social Worker | 2301 Lake Shore Reserve Court, Kernersville, NC 27284 | 2019-01-04 |
| 1073091088 | Gastroenterology Associates of The Piedmont, P.a. | Internal Medicine | 445 Pineview Dr Ste 200b, Kernersville, NC 27284 | 2018-08-01 |
| 1942786629 | Brea Anjanee' Washington | Nurse Practitioner | 1635 Nc 66 South, Suite 145, Kernersville, NC 27284 | 2018-07-16 |
| 1992216246 | Charley Elizabeth Cummings | Physician Assistant | 1635 Nc-66, Kernersville, NC 27284 | 2017-10-13 |
| 1902324304 | Susan Marie Garcia | Counselor | 822 Old Winston Road, Suite 5, Kernersville, NC 27284 | 2017-09-06 |
| 1871034603 | Ljp Lab LLC | Clinical Medical Laboratory | 495 Arbor Hill Rd Ste S, Kernersville, NC 27284 | 2017-03-13 |
| 1912446253 | Knew Era Consulting | Counselor | 335 Creekview Drive, Kernersville, NC 27284 | 2017-02-20 |
| 1144686593 | Amber Moore | Counselor | 822 Old Winston Rd, Suite 5, Kernersville, NC 27284 | 2016-01-14 |
| Find all providers in zip 27284 | ||||
| Taxonomy Code | 106S00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavior Technician |
| The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work. |
| Notes: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2016: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013523463 | Lori H Niebauer | Behavior Technician | 770 Park Centre Dr, Kernersville, NC 27284-3598 | 2020-09-21 |
| 1821615956 | Stacey Donavant | Behavior Technician | 1621 Round Hill Cir, Kernersville, NC 27284-7929 | 2020-07-06 |
| 1164055877 | Charmaine Wiggins | Behavior Technician | 418 W Mountain St, Kernersville, NC 27284-2534 | 2020-02-20 |
| 1609254424 | Adrianne Booker | Behavior Technician | 418b W Mountain St, Kernersville, NC 27284-2534 | 2015-05-13 |
| 1669073359 | Jodi Bennett-bradshaw | Behavior Technician | 418b W Mountain St, Kernersville, NC 27284-2534 | 2020-11-08 |
| 1285235093 | Maiya Stockton | Behavior Technician | 418b W Mountain St, Kernersville, NC 27284-2534 | 2020-11-06 |
| 1750982641 | Maurice Antonio Brown | Behavior Technician | 770 Park Centre Dr, Kernersville, NC 27284-3598 | 2020-11-05 |
| 1851991459 | Amber Walker | Behavior Technician | 770 Park Centre Dr, Kernersville, NC 27284-3598 | 2020-11-01 |
| 1033719885 | Sara Danielle Danser | Behavior Technician | 418 W Mountain St, Kernersville, NC 27284-2534 | 2020-10-30 |
| 1477160323 | Alison Maureen Bradley | Behavior Technician | 418b W Mountain St, Kernersville, NC 27284-2534 | 2020-09-24 |
| Find all providers in KERNERSVILLE | ||||
| City | KERNERSVILLE |
| Zip Code | 27284 |
Please comment or provide details below to improve the information on KENYA WYNN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.