Organization Active NPI

Wonderland Speech & Behavior Corp

  • Clinic/Center
  • Fort Myers, FL
National Provider Identifier
1689397903
Registry record updated Oct 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
WONDERLAND SPEECH & BEHAVIOR CORP
Practice address
6300 Corporate CT Ste 102
Fort Myers, FL 33919-3513
Phone
(786) 718-7673
Fax
(239) 257-1970
NPI assigned
Sep 21, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2025

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

Authorized official

Name
Gelsy Amores HawkinsNPI 1750703500
Title
President
Phone
(786) 718-7673

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

6300 Corporate CT Ste 102
Fort Myers, FL 33919-3513

Mailing address

6300 Corporate CT Ste 102
Fort Myers, FL 33919-3513
Phone (786) 718-7673

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251205003442 FL Part B Supplier - Clinic/Group Practice 6103319272 Receives reassigned benefits from 1 practitioner
Practice locations: Fort Myers, FL

National Provider Directory

National Provider Directory

Locations

6300 Corporate Ct
Ste 102
Fort Myers, FL 33919
Phone (239) 298-6868

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1663718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761264000000",
    "number": "1689397903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6300 CORPORATE CT STE 102",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339193513",
            "telephone_number": "786-718-7673",
            "fax_number": "239-257-1970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6300 CORPORATE CT STE 102",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339193513",
            "telephone_number": "786-718-7673",
            "fax_number": "239-257-1970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WONDERLAND SPEECH & BEHAVIOR CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-21",
        "last_updated": "2025-10-24",
        "certification_date": "2025-10-24",
        "status": "A",
        "authorized_official_last_name": "HAWKINS",
        "authorized_official_first_name": "GELSY",
        "authorized_official_middle_name": "AMORES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-718-7673"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.