Bannah Brooke Walton

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

1547 Cherry Rd
Rock Hill, SC 29732-2616

Phone

(803) 792-0771

NPI assigned

Sep 18, 2023

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Chrysalis Autism Center

  • Specialist
  • Rock Hill, SC
  • NPI 1568624104
  NPD (past)
• Chrysalis Autism Center, Inc

  • Behavior Analyst
  • Rock Hill, SC
  • NPI 1396275806
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1694995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694995200000",
    "number": "1548048036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5726 ADICKS CT",
            "city": "YORK",
            "state": "SC",
            "postal_code": "297459487",
            "telephone_number": "803-579-6201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1547 CHERRY RD",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297322616",
            "telephone_number": "803-792-0771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTON",
        "first_name": "BANNAH",
        "middle_name": "BROOKE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-18",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jermaine Wallace
• Laura Wallace, BCBA
• Marilyn J Jewell Wallace
• Rosemarie Wallace, MSED, ATC
• Paige Walther
• Wanderlust Counseling Services, LLC.
• Ji Fei Wang, DOM
• Wang'S Acupuncture & Herbal Clinic
• Bailey Ward
• Courtney Teressa Ward, OD

• Behavior Technician in Rock Hill, SC
• Providers in Rock Hill, SC by specialty
• Behavior Technician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.