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Lathan Wise
NPI 1578150736 · Behavior Technician · Salem, MO
Lathan Wise is a Behavior Technician provider in Salem, MO (NPI 1578150736).
Provider details
- NPI number
- 1578150736
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- C056195007 (MO)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3400 State St Site G750
Salem, MO 65560
Phone: (000) 000-0000
Approximate (ZIP-level) locationGet directions
Mailing address
21600 Oxnard St Ste 1800
Woodland Hills, CA 91367-7807
Registry dates
- Enumerated
- 2020-12-22
- Last updated
- 2020-12-22
- Certified
- 2020-12-17
Frequently asked questions
- What is Lathan Wise's NPI number?
- Lathan Wise's National Provider Identifier (NPI) is 1578150736, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Lathan Wise's specialty?
- Lathan Wise is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Lathan Wise located?
- Lathan Wise's practice location on file with NPPES is 3400 State St Site G750, Salem, MO 65560.
- What is Lathan Wise's phone number?
- The practice phone number listed in the NPPES registry for Lathan Wise is (000) 000-0000.
- Is Lathan Wise's NPI active?
- Yes — Lathan Wise's NPI (1578150736) is active in the NPPES registry as of the last update on 2020-12-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.