Tatum Aliza Paige Wise
Tatum Aliza Paige Wise is a Behavior Technician in Brentwood, California. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
1191 Central Blvd Ste ABrentwood, CA 94513-2253
Phone: (855) 223-7123
Fax: (619) 374-7134
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Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X |
|---|
Record details
| NPI number | 1528804317 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | July 2, 2024 |
| Last updated in NPPES | July 2, 2024 |
| Certification date | July 2, 2024 |
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