Provider Demographics
NPI:1477393866
Name:DESIGNING BIG DREAMS INC
Entity type:Organization
Organization Name:DESIGNING BIG DREAMS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BOARD MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:JADETH
Authorized Official - Middle Name:ADREANA
Authorized Official - Last Name:YEPEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MPA, CBHCM, CTP
Authorized Official - Phone:321-225-2272
Mailing Address - Street 1:PO BOX 410526
Mailing Address - Street 2:
Mailing Address - City:MELBOURNE
Mailing Address - State:FL
Mailing Address - Zip Code:32941-0526
Mailing Address - Country:US
Mailing Address - Phone:321-225-2272
Mailing Address - Fax:321-574-4116
Practice Address - Street 1:1810 BASHAW ST NW
Practice Address - Street 2:
Practice Address - City:PALM BAY
Practice Address - State:FL
Practice Address - Zip Code:32907-9446
Practice Address - Country:US
Practice Address - Phone:321-225-2272
Practice Address - Fax:321-574-4116
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-31
Last Update Date:2024-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty