Provider Demographics
NPI:1376857870
Name:BUILDING BLOCS (BEHAVIOR AND LANGUAGE OPPORTUNITIES FOR COMMUNICATION
Entity type:Organization
Organization Name:BUILDING BLOCS (BEHAVIOR AND LANGUAGE OPPORTUNITIES FOR COMMUNICATION
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTIE
Authorized Official - Middle Name:LAYTON
Authorized Official - Last Name:PETERSEN
Authorized Official - Suffix:
Authorized Official - Credentials:MED, BCBA, LBA
Authorized Official - Phone:512-827-7011
Mailing Address - Street 1:11623 ANGUS RD STE 20
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78759-4041
Mailing Address - Country:US
Mailing Address - Phone:512-827-7011
Mailing Address - Fax:512-382-1190
Practice Address - Street 1:11623 ANGUS RD STE 20
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78759-4041
Practice Address - Country:US
Practice Address - Phone:512-827-7011
Practice Address - Fax:512-382-1190
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-27
Last Update Date:2025-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX102320235Z00000X
103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty