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

Individual provider Behavior Technician · NPI 1275267668

Kendal Brooke Wise is a Behavior Technician in Austin, Texas. Licensed in Texas. Registered with an NPI since 2022.

Licensed in
TX
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

10109 Lake Creek Pkwy # 170776
Austin, TX 78729-1711
Phone: (971) 666-5675
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X · Licence 1-23-65346 (TX)
Behavior Technician Taxonomy 106S00000X

Record details

NPI number1275267668
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 12, 2022
Last updated in NPPESApril 25, 2023
Certification dateApril 25, 2023
Mailing addressPo Box 170776, Austin, TX 78717-0034

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