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Lathan Dean Wise
Behavior Technician in Salem, Missouri
NPI 1578150736

Lathan Dean Wise is a Behavior Technician based in Woodland Hills, MO. Lathan Dean Wise practices in Salem, MO. The NPI Number for Lathan Dean Wise is 1578150736 and holds a License No. C056195007 (Missouri).

The current practice location address for Lathan Dean Wise is 3400 State St Site G750, Salem, MO and can be reached out via phone at 000-000-0000.

Location: 3400 State St Site G750, Salem, MO, 91367-7807
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1578150736
Provider Name
Lathan Dean Wise
Credential
Provider Entity Type
Individual
Gender
Male
Address
3400 State St Site G750, Salem, MO, 91367-7807
Phone Number
000-000-0000
Fax Number
Provider Enumeration Date
12/22/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3400 State St Site G750
City
Salem
State
Missouri
Zip
65560
Phone Number
000-000-0000
Fax Number
person
Provider Business Mailing Address Details
Address
3400 State St Site G750
City
Salem
State
Missouri
Zip
65560
Phone Number
000-000-0000
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Behavior Technician
Speciality
-
Taxonomy
106S00000X
License No.
C056195007 (Missouri)
Definition
The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.
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