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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