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

Mary Lorraine Wise

Individual provider Behavior Technician · NPI 1124904065

Mary Lorraine Wise is a Behavior Technician in Long Beach, California. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
2

Practice location Address checks out

3210 Long Beach Blvd
Long Beach, CA 90807-5062
Phone: (562) 548-6500
Show map & directions

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

Specialties & licences

Day Training/Habilitation Specialist (primary) Taxonomy 373H00000X
Behavior Technician Taxonomy 106S00000X

Record details

NPI number1124904065
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 14, 2025
Last updated in NPPESMay 29, 2026
Certification dateMay 29, 2026
Mailing address3210 Long Beach Blvd, Long Beach, CA 90807-5062

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