Provider Demographics
NPI:1790142800
Name:BEHAVIOR BUILDING BLOCKS
Entity Type:Organization
Organization Name:BEHAVIOR BUILDING BLOCKS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:ALEXANDRIA
Authorized Official - Middle Name:G
Authorized Official - Last Name:ARRIAGA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-246-3934
Mailing Address - Street 1:1902 RIALTO WAY
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78230-0932
Mailing Address - Country:US
Mailing Address - Phone:210-246-3934
Mailing Address - Fax:830-391-8618
Practice Address - Street 1:1902 RIALTO WAY
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78230-0932
Practice Address - Country:US
Practice Address - Phone:210-246-3934
Practice Address - Fax:830-391-8618
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-20
Last Update Date:2016-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty