Individual
EMILY WISE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED., BIP
Contact information
Practice address
1344 N CATERPILLAR AVE, KUNA, ID 83634-2954
(208) 283-6047
Mailing address
1344 N CATERPILLAR AVE, KUNA, ID 83634-2954
(208) 283-6047
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/17/2020
Last updated
11/17/2020
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