Provider Demographics
NPI:1720742075
Name:BEHAVIOR BLOCKS LLC
Entity Type:Organization
Organization Name:BEHAVIOR BLOCKS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:SANTIMER
Authorized Official - Middle Name:D
Authorized Official - Last Name:VENTURA TORIBIO
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:203-525-5364
Mailing Address - Street 1:17 COTTAGE PL
Mailing Address - Street 2:
Mailing Address - City:OAKVILLE
Mailing Address - State:CT
Mailing Address - Zip Code:06779-1721
Mailing Address - Country:US
Mailing Address - Phone:203-512-2262
Mailing Address - Fax:
Practice Address - Street 1:17 COTTAGE PL
Practice Address - Street 2:
Practice Address - City:OAKVILLE
Practice Address - State:CT
Practice Address - Zip Code:06779-1721
Practice Address - Country:US
Practice Address - Phone:203-512-2262
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-23
Last Update Date:2021-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty