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Organization
WISE OF LIFE INC
Active
Organization
WISE OF LIFE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YASSET DOMINGUEZ LEON AM (OWNER)
(786) 671-9239
Entity
Organization
Contact information
Practice address
6500 W 4TH AVE STE 31, HIALEAH, FL 33012-6606
(305) 542-1339
(305) 603-8471
Mailing address
6500 W 4TH AVE STE 31, HIALEAH, FL 33012-6606
(305) 542-1339
(305) 603-8471
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
116741500
—
FL
Enumeration date
08/30/2021
Last updated
11/20/2025
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