Wise of Life Inc

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

WISE OF LIFE INC

Practice address

6500 W 4TH Ave Ste 31
Hialeah, FL 33012-6606

Phone

(305) 542-1339

Fax

(305) 603-8471

NPI assigned

Aug 30, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Yasset Dominguez Leon, AM

Title

Owner

Phone

(786) 671-9239

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1630281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763596800000",
    "number": "1245907955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6500 W 4TH AVE STE 31",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330126606",
            "telephone_number": "305-542-1339",
            "fax_number": "305-603-8471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6500 W 4TH AVE STE 31",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330126606",
            "telephone_number": "305-542-1339",
            "fax_number": "305-603-8471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISE OF LIFE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-30",
        "last_updated": "2025-11-20",
        "certification_date": "2025-11-20",
        "status": "A",
        "authorized_official_last_name": "DOMINGUEZ LEON",
        "authorized_official_first_name": "YASSET",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-671-9239",
        "authorized_official_credential": "AM"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "116741500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Behavior Analyst in Hialeah, FL
• Providers in Hialeah, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.