Jamie Lyn Wise, MA, BCBA, LBA

NPI #1003205543 in Indianapolis, Indiana

Provider Information

NPI Number: 1003205543
Entity Type: Individual
Name: Jamie Lyn Wise, MA, BCBA, LBA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Analyst
Credential: MA, BCBA, LBA
Enumeration Date: Jan 21, 2015
Last Updated: Jun 16, 2025

Practice Location

Address: 6635 E 21ST ST STE 100
City: Indianapolis
State: Indiana
ZIP Code: 46219-2252
Phone: (317) 608-2824

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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