Individual
CATHERINE WISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
6701 CORPORATE DR STE R, JOHNSTON, IA 50131-1659
(515) 379-6475
Mailing address
20 LAKEFOREST TRL, SANFORD, NC 27332-1046
(719) 342-2841
(515) 644-5359
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
01/09/2018
Last updated
08/11/2026
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