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Organization
WISE FUTURE GROUP SUPPORT SERVICES, LLC
Active
Organization
WISE FUTURE GROUP SUPPORT SERVICES, LLC
Active
Other names
wise future group support services llc
Organization subpart
No
Provider details
NPI number
Authorized official
YAZNELLY S RIVERA (CEO)
(407) 508-7374
Entity
Organization
Contact information
Practice address
10244 E COLONIAL DR STE 110, ORLANDO, FL 32817-4365
(407) 508-7374
Mailing address
10244 E COLONIAL DR STE 110, ORLANDO, FL 32817-4365
(407) 202-9440
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110561900
—
FL
Enumeration date
12/20/2022
Last updated
08/15/2024
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