Wiseman, Kandra Rae

Wiseman, Kandra Rae is an individual health care provider with primary practice located at 1830 S Alma School Rd Ste 130 , Mesa AZ 85210-3088. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Wiseman, Kandra Rae can be contacted via phone (602) 510-5401.

Contact Information

Primary practice address
1830 S Alma School Rd Ste 130 Mesa AZ 85210-3088
Phone: (602) 510-5401
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X BA-0258 Arizona

Profile Details

NPI number 1932643624
LBN Legal business name Wiseman, Kandra Rae
Credentials MA BCBA BHP
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 14th, 2016
Last updated Dec 14th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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