Tanesha Wise

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

050542707 Issued in GA

Practice address

478 Henry Dr SW
Marietta, GA 30064-3400

Phone

(678) 558-9095

NPI assigned

Jul 20, 2026

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1784505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784505600000",
    "number": "1326968280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "478 HENRY DR SW",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300643400",
            "telephone_number": "678-558-9095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "478 HENRY DR SW",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300643400",
            "telephone_number": "678-558-9095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISE",
        "first_name": "TANESHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-07-20",
        "last_updated": "2026-07-20",
        "certification_date": "2026-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "GA",
            "license": "050542707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Norman Michael Winter Jr., DMD
• Sarah Winter, PTA
• Stephanie Winter, D.C.
• Katlin Wise
• Mark Stephen Wise
• Wishing Well Counseling & Consulting
• Angelina Elizabeth Witbeck, PSY.D.
• Witkiewicz Enterprises, Inc
• Witkiewicz Enterprises, Inc.
• Kristin P Wittgen, OTR

• Behavior Technician in Marietta, GA
• Providers in Marietta, GA by specialty
• Behavior Technician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2026; 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.