Provider Demographics
NPI:1477365021
Name:FIRM FOUNDATIONS BEHAVIORAL THERAPY LLC
Entity type:Organization
Organization Name:FIRM FOUNDATIONS BEHAVIORAL THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:TAYLOR
Authorized Official - Middle Name:
Authorized Official - Last Name:DE TUYA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-801-3134
Mailing Address - Street 1:8912 SW 226TH TER
Mailing Address - Street 2:
Mailing Address - City:CUTLER BAY
Mailing Address - State:FL
Mailing Address - Zip Code:33190-1326
Mailing Address - Country:US
Mailing Address - Phone:305-801-3134
Mailing Address - Fax:
Practice Address - Street 1:8912 SW 226TH TER
Practice Address - Street 2:
Practice Address - City:CUTLER BAY
Practice Address - State:FL
Practice Address - Zip Code:33190-1326
Practice Address - Country:US
Practice Address - Phone:305-801-3134
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-21
Last Update Date:2025-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty