Provider Demographics
NPI:1518238294
Name:BUILDING UNIQUE INDIVIDUALS LIVING DREAMS (BUILD)
Entity Type:Organization
Organization Name:BUILDING UNIQUE INDIVIDUALS LIVING DREAMS (BUILD)
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KAYE
Authorized Official - Middle Name:L
Authorized Official - Last Name:HONADLE
Authorized Official - Suffix:
Authorized Official - Credentials:MED, BCBA
Authorized Official - Phone:407-285-5221
Mailing Address - Street 1:890 NORTHERN WAY
Mailing Address - Street 2:
Mailing Address - City:WINTER SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32708-3880
Mailing Address - Country:US
Mailing Address - Phone:407-285-5221
Mailing Address - Fax:
Practice Address - Street 1:890 NORTHERN WAY
Practice Address - Street 2:
Practice Address - City:WINTER SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32708-3880
Practice Address - Country:US
Practice Address - Phone:407-285-5221
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-26
Last Update Date:2012-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health