Provider Demographics
NPI:1659044089
Name:BUILDING FOUNDATIONS THERAPY SERVICES, INC.
Entity Type:Organization
Organization Name:BUILDING FOUNDATIONS THERAPY SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:VANESA
Authorized Official - Middle Name:
Authorized Official - Last Name:HEREDIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-732-6646
Mailing Address - Street 1:13590 SW 134TH AVE STE 107
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33186-4575
Mailing Address - Country:US
Mailing Address - Phone:786-732-6646
Mailing Address - Fax:786-842-3218
Practice Address - Street 1:13590 SW 134TH AVE STE 107
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186-4575
Practice Address - Country:US
Practice Address - Phone:786-732-6646
Practice Address - Fax:786-842-3218
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-30
Last Update Date:2021-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency