Chanise Wise

NPI #1962174516 in Sparks, Maryland

Provider Information

NPI Number: 1962174516
Entity Type: Individual
Name: Chanise Wise
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Oct 1, 2021
Last Updated: Oct 1, 2021

Practice Location

Address: 14550 YORK RD
City: Sparks
State: Maryland
ZIP Code: 21152-9307
Phone: (443) 330-7900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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