Wise ABA LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

WISE ABA LLC

Practice address

303 SW 6TH St
Fort Lauderdale, FL 33315-1027

Phone

(754) 422-7316

NPI assigned

Aug 15, 2024

Organization subpart

No

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

Authorized official

Name

Kimberly Laguna, PTA

Title

Authorized Official

Phone

(754) 422-7316

Specialties & licenses 1

Addresses

Practitioners 1

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

• Kim Laguna, PTA, CLT

  • Physical Therapy Assistant
  • Fort Lauderdale, FL
  • NPI 1942626288
  NPD

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

{
    "created_epoch": "1723680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723766400000",
    "number": "1851123228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14655 VIA TIVOLI CT",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333256917",
            "telephone_number": "754-422-7316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 SW 6TH ST",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333151027",
            "telephone_number": "754-422-7316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISE ABA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-15",
        "last_updated": "2024-08-16",
        "certification_date": "2024-08-16",
        "status": "A",
        "authorized_official_last_name": "LAGUNA",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "754-422-7316",
        "authorized_official_credential": "PTA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leilani Winterdaal
• Stacy Winton, RD, LD
• Kathleen Elissa Wirth, DMD
• Wisdom 3, LLC
• Marilyn Wisdom, LMHC
• Wise Health Solutions
• Wise Speech Therapy LLC
• Carolynn Wise, M.S CCC-SLP
• Jack Wise, DC
• Polly Wishon-Shah, AS,RT,R,M,CT,MR

• Behavior Analyst in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2024; 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.