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Kenosha Archie-Wallace

Behavior Technician in Statesboro, GA · enumerated 2026.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1629902192

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Registry record

Entity type Individual (Type 1)
Name Kenosha Archie-Wallace
Sex Female
Practice address 2760 Northside Dr W, Statesboro, GA, 30458
Phone (912) 208-2024
Enumeration date Jun 10, 2026
Last updated in NPPES Jun 10, 2026

Taxonomy & licenses

106S00000X Behavior Technician Behavioral Health & Social Service Providers Primary

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Kenosha Archie-Wallace?
The National Provider Identifier (NPI) for Kenosha Archie-Wallace is 1629902192, a Type 1 (individual) record in the CMS NPPES registry.
Where does Kenosha Archie-Wallace practice?
The practice location on file with NPPES is in Statesboro, GA. Providers can have multiple locations; NPPES lists the primary practice address.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-06-10.