IndividualActive
Amber Wise
NPI 1992438345 · Behavior Technician · White Bear Lake, MN
Provider details
- NPI number
- 1992438345
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
Practice location
1011 Meadowlands Dr
White Bear Lake, MN 55127-2339
Phone: (612) 315-1976
Mailing address
43 116th Ave Ne
Blaine, MN 55434-7823
Registry dates
- Enumerated
- 2022-07-05
- Last updated
- 2022-07-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.