Individual provider · Type 1 NPI

Modesta Allena Fogg

Behavior Analyst · Wake Forest, NC

NPI number 1225820251 Active

Practice location

412 Ferry Ct
Wake Forest, NC 27587-4020

Call (919) 306-7477 Map

Specialties and licenses

TaxonomyCodeLicense
Behavior Analyst Primary 103K00000X21384238 (NC)

Behavior Analyst: 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…

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About NPI 1225820251

Modesta Allena Fogg's National Provider Identifier is 1225820251, issued on May 17, 2025. The primary taxonomy on file is Behavior Analyst (103K00000X), and the practice location is in Wake Forest, NC. The record was last updated on May 17, 2025.