Provider / Organization | NPI | Date Certified |
---|---|---|
DARA WISE | 1528720216 | 2021-10-10 |
Dara Wise is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1528720216. Registration indicates Dara Wise is a provider of services with a specialization in Behavioral Health & Social Service Providers, Assistant Behavior Analyst (Assistant Behavior Analyst, Behavioral Health & Social Service Providers) (Assistant Behavior Analyst, ) (Behavioral Health & Social Service Providers, Behavior Technician) (Behavior Technician, Behavioral Health & Social Service Providers) (Behavior Technician, ) (Behavioral Health & Social Service Providers, Behavior Technician) (Behavior Technician, Behavioral Health & Social Service Providers) (Behavior Technician, ) Access to Mental Health/Behavioral Health Providers (Behavioral Health & Social Service Providers, Behavioral Analyst) (Behavioral Health & Social Service Providers, Behavioral Analyst) (Behavioral Analyst, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Behavioral Analyst, Behavioral Health & Social Service Providers)
Entity Type | Individual |
Provider Name | Dara Wise |
Practice Office Address | 2115 STEPHENS PL BLDG 8 NEW BRAUNFELS, TX US |
Practice Office Telephone | 2104470039 |
Mailing Address | 6222 W IH 10 STE 104 SAN ANTONIO, TX 782012013 US |
Business Telephone | 2104470039 |
Address | City / State | Phone / Fax |
---|---|---|
2115 Stephens Pl Bldg 8 | New Braunfels, TX 781302134 | 2104470039 |
133 Windy Meadows Dr Ste 101 | Schertz, TX 781541543 | 2104470039 |
ABA clinic [] | EmpowerBehavioralHealth |
Code | Practice | License No State |
---|---|---|
106E00000X | Behavioral Health & Social Service Providers Assistant Behavior Analyst Assistant Behavior Analyst Behavioral Health & Social Service Providers Assistant Behavior Analyst | |
106S00000X | Behavioral Health & Social Service Providers Behavior Technician Behavior Technician Behavioral Health & Social Service Providers Behavior Technician | |
106S00000X | Behavioral Health & Social Service Providers Behavior Technician Behavior Technician Behavioral Health & Social Service Providers Behavior Technician |
TX |
103K00000X PRIMARY | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Behavioral Analyst Behavioral Health & Social Service Providers Behavioral Analyst Behavioral Analyst Behavioral Health/Substance Abuse/Psychiatry Behavioral Analyst Behavioral Health & Social Service Providers | 5355
TX |