Theodore Wismar
Theodore Wismar is a Behavior Technician in Fremont, California. Registered with an NPI since 2025.
- In the registry since
- 2025
Practice location Address checks out
39420 Liberty St Ste 150Fremont, CA 94538-2284
Phone: (510) 794-5155
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X |
|---|
Record details
| NPI number | 1700677705 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | May 16, 2025 |
| Last updated in NPPES | May 16, 2025 |
| Certification date | May 16, 2025 |
| Mailing address | 39420 Liberty St Ste 150, Fremont, CA 94538-2284 |
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