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NPI Code Detail

MEDICARE: CLAUDE WISE JR.

MEDICARE: CLAUDE WISE JR.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1609728948
Entity Type Code : Individual
Provider Name (Legal Business Name) : CLAUDE WISE JR.
Provider Business Mailing Address
First Line : 1017 DEHIRSCH AVE
Second Line :
City : WOODBINE
State : NJ
Zip : 08270-2342
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 407 GLENN AVE
Second Line :
City : EGG HARBOR TOWNSHIP
State : NJ
Zip : 08234-6109
Country : US
Telephone Number : 877-504-4141
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/10/2026
Last Update Date : 02/10/2026

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