Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Angelica Wise

Individual provider Behavior Technician · NPI 1225539448

Angelica Wise is a Behavior Technician in Fremont, California. Registered with an NPI since 2018.

In the registry since
2018
Specialties on file
2
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Practice location Address checks out

39201 State St
Fremont, CA 94538-1437
Phone: (866) 206-2008
Fax: (866) 317-1665
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X
Behavior Technician Taxonomy 106S00000X

Record details

NPI number1225539448
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 22, 2018
Last updated in NPPESFebruary 25, 2021
Certification dateFebruary 25, 2021
Mailing address1957 Knolls Dr, Santa Rosa, CA 95405-8367

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