Individual provider · Type 1 NPI

Jamie Lyn Wise, MA, BCBA, LBA

Behavior Analyst · Indianapolis, IN

NPI number 1003205543 Active

Practice location

6635 E 21st St Ste 100
Indianapolis, IN 46219-2252

Call (317) 608-2824 Map

Fax (317) 520-8200

Mailing address

3500 Depauw Blvd Ste 3070
Indianapolis, IN 46268-6135

Specialties and licenses

TaxonomyCodeLicense
Behavior Analyst Primary 103K00000X1-14-17717 (IN)
Behavior Analyst 103K00000X267498 (KY)

Behavior Analyst: A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis…

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About NPI 1003205543

Jamie Lyn Wise, MA, BCBA, LBA's National Provider Identifier is 1003205543, issued on Jan 21, 2015. The primary taxonomy on file is Behavior Analyst (103K00000X), and the practice location is in Indianapolis, IN. The record was last updated on Jun 16, 2025.