Individual provider · Type 1 NPI

Mary Lorraine Wise

Day Training/Habilitation Specialist · Long Beach, CA

NPI number 1124904065 Active

Practice location

3210 Long Beach Blvd
Long Beach, CA 90807-5062

Call (562) 548-6500 Map

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician 106S00000XNone listed
Day Training/Habilitation Specialist Primary 373H00000XNone listed

Day Training/Habilitation Specialist: Individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living.

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About NPI 1124904065

Mary Lorraine Wise's National Provider Identifier is 1124904065, issued on Aug 14, 2025. The primary taxonomy on file is Day Training/Habilitation Specialist (373H00000X), and the practice location is in Long Beach, CA. The record was last updated on May 29, 2026.