Jaunru Alexander Wisner

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

BACB701417 Issued in AZ

Practice address

3100 W Ray Rd Ste 201
Chandler, AZ 85226-2472

Phone

(818) 645-8980

NPI assigned

Apr 19, 2023

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1681862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681862400000",
    "number": "1326735341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5701 E GLENN ST APT 11",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857125230",
            "telephone_number": "818-645-8980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 W RAY RD STE 201",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852262472",
            "telephone_number": "818-645-8980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISNER",
        "first_name": "JAUNRU",
        "middle_name": "ALEXANDER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-04-19",
        "last_updated": "2023-04-19",
        "certification_date": "2023-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "AZ",
            "license": "BACB701417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Marie Winters, AU.D., CCC-A
• Nadine Astrid Winters
• Chelsie Wise, PTA
• Deborah Lynn Wise, M.A. CCC-SLP
• Brandon Wishman, PT, DPT
• Withinsight Psychological Services PLLC
• Lauren Bunker Woffinden, NP
• Chelsea Lynn Wolf, RBT
• Amy Wolfe
• Andrea L Wolff, MD

• Behavior Technician in Chandler, AZ
• Providers in Chandler, AZ by specialty
• Behavior Technician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.