Provider Demographics
NPI:1770281446
Name:DREAM BIG ABA LLC
Entity type:Organization
Organization Name:DREAM BIG ABA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JESUS
Authorized Official - Middle Name:ARTURO
Authorized Official - Last Name:RODRIGUEZ OJEA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-440-6419
Mailing Address - Street 1:18501 PINES BLVD # 347
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33029-1414
Mailing Address - Country:US
Mailing Address - Phone:305-440-6419
Mailing Address - Fax:
Practice Address - Street 1:18501 PINES BLVD # 347
Practice Address - Street 2:
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33029-1414
Practice Address - Country:US
Practice Address - Phone:305-440-6419
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-21
Last Update Date:2023-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty