Individual
AUBREY WISE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1048 WILDWOOD CENTRE DR, COLUMBIA, SC 29229-8420
(803) 999-3752
Mailing address
1321 MURFREESBORO PIKE STE 702, NASHVILLE, TN 37217-2679
(615) 361-4000
(803) 905-4431
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-22-58373
SC
106E00000X
Assistant Behavior Analyst
0-14-6059
SC
Other
Enumeration date
11/10/2014
Last updated
03/18/2022
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