Provider Demographics
NPI:1184989360
Name:BEHAVIORAL BUILDING BLOCKS, INC
Entity type:Organization
Organization Name:BEHAVIORAL BUILDING BLOCKS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:ANKI
Authorized Official - Middle Name:
Authorized Official - Last Name:SJOLUND
Authorized Official - Suffix:
Authorized Official - Credentials:MS, BCBA
Authorized Official - Phone:310-383-4799
Mailing Address - Street 1:15335 MORRISON ST
Mailing Address - Street 2:SUITE 235
Mailing Address - City:SHERMAN OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91403-1513
Mailing Address - Country:US
Mailing Address - Phone:818-990-1265
Mailing Address - Fax:818-990-0929
Practice Address - Street 1:15335 MORRISON ST
Practice Address - Street 2:SUITE 235
Practice Address - City:SHERMAN OAKS
Practice Address - State:CA
Practice Address - Zip Code:91403-1513
Practice Address - Country:US
Practice Address - Phone:818-990-1265
Practice Address - Fax:818-990-0929
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-12
Last Update Date:2012-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1-04-1577252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency