LATHAN DEAN WISE
NPI 1578150736
Behavior Technician in Salem, MO
About Lathan Dean Wise NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LATHAN DEAN WISE (NPI 1578150736) is an individual behavior technician in Salem, Missouri, licensed in Missouri (C056195007) and active in the NPI registry since December 2020.
NPPES Registry Identity
Specialties & Licenses
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Lathan Wise's NPI number?
The NPI number for Lathan Wise is 1578150736. It was assigned to this individual provider in the NPPES registry on December 22, 2020.
Where is Lathan Wise located?
Lathan Wise practices at 3400 State St Site G750, Salem, MO 65560. The listed phone number is (000) 000-0000.
What is Lathan Wise's specialty?
The primary specialty registered for this NPI is Behavior Technician with taxonomy code 106S00000X.
When was this NPI record last updated?
The NPPES record for Lathan Wise was last updated on December 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.