Provider Demographics
NPI:1437938222
Name:BUILDING BLOCKS THERAPY SERVICES LLC
Entity Type:Organization
Organization Name:BUILDING BLOCKS THERAPY SERVICES LLC
Other - Org Name:BEHAVIOR BRIDGE SOLUTIONS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:ALEJANDRO
Authorized Official - Last Name:HERNANDEZ QUEVEDO
Authorized Official - Suffix:
Authorized Official - Credentials:RBT
Authorized Official - Phone:786-800-1633
Mailing Address - Street 1:4715 BARKLEY CIR APT 7
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33907-7583
Mailing Address - Country:US
Mailing Address - Phone:786-800-1633
Mailing Address - Fax:
Practice Address - Street 1:4715 BARKLEY CIR APT 7
Practice Address - Street 2:
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33907-7583
Practice Address - Country:US
Practice Address - Phone:786-800-1633
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-21
Last Update Date:2023-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty
No106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior AnalystGroup - Multi-Specialty
No106S00000XBehavioral Health & Social Service ProvidersBehavior TechnicianGroup - Multi-Specialty