Provider Demographics
NPI:1376189423
Name:DREAM BIGGER CHILDREN'S FOUNDATION
Entity Type:Organization
Organization Name:DREAM BIGGER CHILDREN'S FOUNDATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:RANDALL
Authorized Official - Middle Name:A
Authorized Official - Last Name:MAALE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-291-8437
Mailing Address - Street 1:9840 ALTERNATE A1A STE 402
Mailing Address - Street 2:
Mailing Address - City:PALM BEACH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33410-4934
Mailing Address - Country:US
Mailing Address - Phone:561-291-8437
Mailing Address - Fax:561-584-6785
Practice Address - Street 1:9840 ALTERNATE A1A STE 402
Practice Address - Street 2:
Practice Address - City:PALM BEACH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33410-4934
Practice Address - Country:US
Practice Address - Phone:561-291-8437
Practice Address - Fax:561-584-6785
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-25
Last Update Date:2019-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty
No208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Multi-Specialty