Provider Demographics
NPI:1124148945
Name:BUILDING BLOCKS PEDIATRIC THERAPY
Entity type:Organization
Organization Name:BUILDING BLOCKS PEDIATRIC THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:
Authorized Official - Last Name:BABEL
Authorized Official - Suffix:
Authorized Official - Credentials:OTR
Authorized Official - Phone:602-487-0002
Mailing Address - Street 1:2046 E STEPHENS PL
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85225-8269
Mailing Address - Country:US
Mailing Address - Phone:602-487-0002
Mailing Address - Fax:480-786-6626
Practice Address - Street 1:2046 E STEPHENS PL
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85225-8269
Practice Address - Country:US
Practice Address - Phone:602-487-0002
Practice Address - Fax:480-786-6626
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health