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Regina Wise

Behavior Technician in Beltsville, MD. Individual provider (NPI-1).

NPI number1386585537
StatusActive
Last updated in NPPESApr 2, 2026

Details

NPI
1386585537
Entity type
Individual (NPI-1)
Name
Regina Wise
Sex
Female
Sole proprietor
No
Enumeration date
Apr 2, 2026
Certification date
Apr 2, 2026
Last updated
Apr 2, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

12240 Indian Creek Ct
Beltsville, MD 20705-1242

Phone 201-979-1336

Mailing address

175 Belgrove Dr
Kearny, NJ 07032-1507

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