| Wise Future Group Support Services, Llc | |
|
10244 E Colonial Dr Ste 110 Orlando FL 32817-4365 | |
| (407) 202-9440 | |
| (407) 601-6879 |
| Full Name | Wise Future Group Support Services, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 10244 E Colonial Dr Ste 110, Orlando, Florida |
| Authorized Official Name and Position | Yaznelly S Rivera (CEO) |
| Authorized Official Contact | 4075087374 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wise Future Group Support Services, Llc 10244 E Colonial Dr Ste 110 Orlando FL 32817-4365 Ph: (407) 202-9440 | Wise Future Group Support Services, Llc 10244 E Colonial Dr Ste 110 Orlando FL 32817-4365 Ph: (407) 202-9440 |
| NPI Number | 1235841347 |
|---|---|
| Provider Enumeration Date | 12/20/2022 |
| Last Update Date | 12/20/2022 |
| Certification Date | 12/19/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235841347 | NPI | - | NPPES |
| 110159900 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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