Provider Demographics
NPI:1912701335
Name:WONDERLAND BEHAVIORAL CORP.
Entity type:Organization
Organization Name:WONDERLAND BEHAVIORAL CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:ISIS
Authorized Official - Middle Name:
Authorized Official - Last Name:ORAMAS PENA
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:305-607-9887
Mailing Address - Street 1:5247 NW 190TH LN
Mailing Address - Street 2:
Mailing Address - City:MIAMI GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33055-2386
Mailing Address - Country:US
Mailing Address - Phone:305-607-9887
Mailing Address - Fax:305-607-9887
Practice Address - Street 1:5247 NW 190TH LN
Practice Address - Street 2:
Practice Address - City:MIAMI GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33055-2386
Practice Address - Country:US
Practice Address - Phone:305-607-9887
Practice Address - Fax:305-607-9887
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-03
Last Update Date:2025-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty