Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHANE' ROLANDA WILSON
DeactivatedSHANE' ROLANDA WILSON is a Behavior Analyst healthcare provider located in RALEIGH, North Carolina. NPI 1609426543 is deactivated in the NPPES registry. Verify at CMS.
Behavior Analyst · RALEIGH, NC
This NPI has been deactivated.
The record was deactivated on October 14, 2023.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1609426543
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 12, 2019 (4.0874316939891 yrs)
- Last Updated
- Nov 4, 2024
- Deactivated
- Oct 14, 2023
- License
-
1447 (NC)
Practice Information
- Address
-
5121 KINGDOM WAY STE 100RALEIGH, NC, 276076063Browse NC providers · Browse ZIP 27607
- Phone
- 9197430204
- Primary Specialty
-
Behavior Analyst
103K00000X
- Additional Specialty
- Behavior Technician
- Additional Specialty
- Behavior Analyst
Other Behavior Analyst Providers in RALEIGH, NC
| Name | Credential | NPI |
|---|---|---|
| SORAYA SHANUN KUNNAVATANA | PHD., BCBA-D | 1083806905 |
| DR. DEBRA LEACH | ED.D., BCBA | 1003053414 |
| LAURA MOORE | BCBA | 1215161955 |
| MS. MARY ELIZABETH GARTLAND | BCBA | 1821327487 |
| LEAH LYNN BEAN | MA,MS,BCBA | 1447582978 |
| VICTORIA SADLER KARLSEN | BCBA, LABA | 1417272626 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.