Provider Demographics
NPI:1609121052
Name:BABY BUILDERS, INC
Entity Type:Organization
Organization Name:BABY BUILDERS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:GRACIELA
Authorized Official - Middle Name:
Authorized Official - Last Name:PAGANO
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:510-333-4579
Mailing Address - Street 1:4341 PIEDMONT AVE
Mailing Address - Street 2:SUITE #3
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94611-4766
Mailing Address - Country:US
Mailing Address - Phone:510-333-4579
Mailing Address - Fax:510-740-3491
Practice Address - Street 1:4341 PIEDMONT AVE
Practice Address - Street 2:SUITE #3
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94611-4766
Practice Address - Country:US
Practice Address - Phone:510-333-4579
Practice Address - Fax:510-740-3491
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-20
Last Update Date:2019-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA11902225X00000X, 225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
No225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatricsGroup - Multi-Specialty