Provider Demographics
NPI:1356065841
Name:BUILDING BLOCKS ACADEMY OF NEW JERSEY
Entity type:Organization
Organization Name:BUILDING BLOCKS ACADEMY OF NEW JERSEY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:
Authorized Official - Last Name:OLAVARRIA
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:347-743-6975
Mailing Address - Street 1:PO BOX 24
Mailing Address - Street 2:
Mailing Address - City:WOOD RIDGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07075-0024
Mailing Address - Country:US
Mailing Address - Phone:347-743-6975
Mailing Address - Fax:
Practice Address - Street 1:521 VAN HOUTEN AVE
Practice Address - Street 2:
Practice Address - City:CLIFTON
Practice Address - State:NJ
Practice Address - Zip Code:07013-2190
Practice Address - Country:US
Practice Address - Phone:347-743-6975
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-28
Last Update Date:2022-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty