Provider Demographics
NPI:1740044270
Name:BUIDES THERAPY CORP
Entity type:Organization
Organization Name:BUIDES THERAPY CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:BUIDES MORA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-384-1464
Mailing Address - Street 1:10652 SW 186TH ST
Mailing Address - Street 2:
Mailing Address - City:CUTLER BAY
Mailing Address - State:FL
Mailing Address - Zip Code:33157-6720
Mailing Address - Country:US
Mailing Address - Phone:786-384-1464
Mailing Address - Fax:
Practice Address - Street 1:10652 SW 186TH ST
Practice Address - Street 2:
Practice Address - City:CUTLER BAY
Practice Address - State:FL
Practice Address - Zip Code:33157-6720
Practice Address - Country:US
Practice Address - Phone:786-384-1464
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-06
Last Update Date:2024-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty