Healthcare Provider Details

I. General information

NPI: 1356262109
Provider Name (Legal Business Name): WONDERWAY ABA OF FL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/24/2026
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1994 RASHI DR
OKEECHOBEE FL
34974
US

IV. Provider business mailing address

4118 14TH AVE # 102
BROOKLYN NY
11219-1401
US

V. Phone/Fax

Practice location:
  • Phone: 678-370-9990
  • Fax:
Mailing address:
  • Phone: 678-370-9990
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD1600X
TaxonomyDevelopmental Disabilities Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: CHAIM OVITS
Title or Position: OFFICER
Credential:
Phone: 678-370-9990