Provider Demographics
NPI:1679871396
Name:BUILDING BRIDGES, BEHAVIORAL INTERVENTIONS FOR CHILDREN
Entity Type:Organization
Organization Name:BUILDING BRIDGES, BEHAVIORAL INTERVENTIONS FOR CHILDREN
Other - Org Name:BUILDING BRIDGES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BEHAVIOR ANALYST
Authorized Official - Prefix:MRS
Authorized Official - First Name:EMILY
Authorized Official - Middle Name:J
Authorized Official - Last Name:HOYT
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:503-235-3122
Mailing Address - Street 1:0112 SW PENNOYER ST
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97239-4368
Mailing Address - Country:US
Mailing Address - Phone:503-235-3122
Mailing Address - Fax:
Practice Address - Street 1:0112 SW PENNOYER ST
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97239-4368
Practice Address - Country:US
Practice Address - Phone:503-235-3122
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-03
Last Update Date:2011-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health