Provider Demographics
NPI:1912697301
Name:DBJ DREAM NEURO-BEHAVIORAL SERVICES
Entity type:Organization
Organization Name:DBJ DREAM NEURO-BEHAVIORAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:TAIMI
Authorized Official - Middle Name:
Authorized Official - Last Name:URIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-487-4759
Mailing Address - Street 1:15165 NW 77TH AVE STE 1009B
Mailing Address - Street 2:
Mailing Address - City:MIAMI LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:33014-7801
Mailing Address - Country:US
Mailing Address - Phone:786-487-4759
Mailing Address - Fax:305-397-1377
Practice Address - Street 1:15165 NW 77TH AVE STE 1009B
Practice Address - Street 2:
Practice Address - City:MIAMI LAKES
Practice Address - State:FL
Practice Address - Zip Code:33014-7801
Practice Address - Country:US
Practice Address - Phone:786-487-4759
Practice Address - Fax:305-397-1377
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-10
Last Update Date:2023-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty