MARY LORRAINE WISE
NPI 1124904065
Day Training/Habilitation Specialist in Long Beach, CA

Q: What is Mary Wise's NPI number?

The NPI number for Mary Wise is 1124904065. It was assigned to this individual provider in the NPPES registry on August 14, 2025. The provider is also known as Ben Wise.

Q: What is Mary Wise's specialty?

The primary specialty registered for this NPI is Day Training/Habilitation Specialist with taxonomy code 373H00000X.

Q: When was this NPI record last updated?

The NPPES record for Mary Wise was last updated on May 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 14, 2025

3210 LONG BEACH BLVD, LONG BEACH, CA 90807(562) 548-6500 Get Directions Write a Review

NPPES record last updated: May 29, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 29, 2026, Aug 14, 2025 (2 updates tracked since 2025).

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About Mary Lorraine Wise NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY LORRAINE WISE (NPI 1124904065) is an individual day training/habilitation specialist in Long Beach, California and active in the NPI registry since August 2025.

NPPES Registry Identity

NPI1124904065

Entity TypeIndividualFemale

Primary Taxonomy373H00000X

Provider Legal NameMARY LORRAINE WISE

Location Address3210 LONG BEACH BLVDLong Beach, CA 90807-5062

Mailing Address3210 Long Beach BlvdLong Beach, CA 90807-5062 · (562) 548-6500

Phone(562) 548-6500

Sole ProprietorNo

Enumeration DateAugust 14, 2025

Last NPPES UpdateMay 29, 20262 updates tracked since enumeration

NPPES CertifiedMay 29, 2026

✔ NPI 1124904065 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDay Training/Habilitation SpecialistNursing Service Related Providers

Taxonomy Code373H00000X

Definition

Individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living.

Also ListedBehavior TechnicianTaxonomy 106S00000X

3210 LONG BEACH BLVD, Long Beach, CA 90807

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Other Names 1

Other Name (5)Ben Wise

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. SERWA A BERNAL RN

Registered Nurse