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Organization
WISE ABA LLC
Active
Organization
WISE ABA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY LAGUNA PTA (AUTHORIZED OFFICIAL)
(754) 422-7316
Entity
Organization
Contact information
Practice address
303 SW 6TH ST, FORT LAUDERDALE, FL 33315-1027
(754) 422-7316
Mailing address
14655 VIA TIVOLI CT, DAVIE, FL 33325-6917
(754) 422-7316
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
08/15/2024
Last updated
08/16/2024
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