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Active NPI 1114843109 Individual Practitioner Female Practitioner

Guadalupe Hernandez Mancilla

Behavior Analyst • Wake Forest, NC

Professional Overview & Biography Verified Profile Summary

Guadalupe Hernandez Mancilla is a registered healthcare professional specializing in Behavior Analyst in Wake Forest, NC. Practice services are available at 11635 NORTHPARK DR STE 100 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

11635 Northpark Dr Ste 100

Wake Forest, NC 275879350

Telephone 9807851113
Fax 9807851114
Associated Practice Facility / Clinic
🏢 Mosaic Group, Llc Facility NPI 1144682873

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Wake Forest, NC

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 5.0 Yrs
Regional Practice Density
18 Specialists

Practicing in Wake Forest, NC (2354 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-06-25
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Raven Headen

Behavior Analyst

NPI 1003500182
Addison Black

Behavior Technician

NPI 1013568971
Wendy Olson

Behavior Analyst

NPI 1023966207
Nadia Valcin

Behavior Analyst

NPI 1033726302
Angelica Santos

Behavior Technician

NPI 1043861990
Ellison Fox

Behavior Analyst

NPI 1043895188

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active June 25, 2026

NPI status registered as active in NPPES database

📍
Updated Practice Location June 25, 2026

Registered at 11635 NORTHPARK DR STE 100, WAKE FOREST, NC 275879350 (Tel: 9807851113)

📍
Updated Business Mailing Address June 25, 2026

Registered at 814 TYVOLA RD STE 126, CHARLOTTE, NC 282173539 (Tel: 9807851113)

👤
Provider Name / Credentials Updated June 25, 2026

Recorded as GUADALUPE HERNANDEZ MANCILLA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 25, 2026

Behavior Analyst

🟢
Initial NPI Registration & Enumeration June 25, 2026

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1114843109
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 25, 2026
Last Update: June 25, 2026
Sole Proprietor: No

Mailing Address

814 Tyvola Rd Ste 126

Charlotte, NC 282173539

Phone: 9807851113

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.