NPI 1003205543

Jamie Lyn Wise, MABCBALBA

Practitioner Behavior Analyst Indianapolis, IN

Practice location

Address: 6635 E 21st St STE 100, Indianapolis, IN 46219-2252
Phone: (317) 608-2824
Fax: (317) 520-8200
Mailing address: 3500 Depauw Blvd STE 3070, Indianapolis, IN 46268-6135

Registered specialties (2)

Behavior Analyst Primary

Behavioral Health & Social Service Providers Taxonomy 103K00000X Licence 1-14-17717 (IN)

Other Behavior Analyst providers in Indiana →

Behavior Analyst

Behavioral Health & Social Service Providers Taxonomy 103K00000X Licence 267498 (KY)

Registry record

NPI: 1003205543
Entity type: Individual
Sex (as registered): Female
NPI issued: 21 Jan 2015
Record last updated: 16 Jun 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.