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

Jacob Wise

Individual provider Behavior Technician · NPI 1285410068

Jacob Wise is a Behavior Technician in El Segundo, California. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

100 N Pacific Coast Hwy Ste 1400
El Segundo, CA 90245-5602
Phone: (310) 856-0800
Fax: (855) 568-2494
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1285410068
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 6, 2023
Last updated in NPPESSeptember 6, 2023
Certification dateSeptember 6, 2023
Mailing address100 N Pacific Coast Hwy Ste 1400, El Segundo, CA 90245-5602

Other providers in El Segundo