Provider Demographics
NPI:1053847558
Name:BUILDING BLOCKS LLC
Entity Type:Organization
Organization Name:BUILDING BLOCKS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DIR OPERATIONS
Authorized Official - Prefix:MS
Authorized Official - First Name:CHARLENE
Authorized Official - Middle Name:
Authorized Official - Last Name:FROSTICK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-400-9014
Mailing Address - Street 1:PO BOX 70463
Mailing Address - Street 2:
Mailing Address - City:HENRICO
Mailing Address - State:VA
Mailing Address - Zip Code:23255-0463
Mailing Address - Country:US
Mailing Address - Phone:804-400-9014
Mailing Address - Fax:
Practice Address - Street 1:1217 ELMHURST DR
Practice Address - Street 2:
Practice Address - City:HENRICO
Practice Address - State:VA
Practice Address - Zip Code:23229-5713
Practice Address - Country:US
Practice Address - Phone:804-400-9014
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-04
Last Update Date:2017-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty