Provider Demographics
NPI:1750085809
Name:BUILDING BLOCKS FOR BETTER LIVES LLC
Entity type:Organization
Organization Name:BUILDING BLOCKS FOR BETTER LIVES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CREDENTIALING
Authorized Official - Prefix:MS
Authorized Official - First Name:TRISHA
Authorized Official - Middle Name:
Authorized Official - Last Name:ORTEGA
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:718-208-9323
Mailing Address - Street 1:713 E 86TH ST APT 1
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11236-3641
Mailing Address - Country:US
Mailing Address - Phone:718-208-9323
Mailing Address - Fax:
Practice Address - Street 1:713 E 86TH ST APT 1
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11236-3641
Practice Address - Country:US
Practice Address - Phone:718-208-9323
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-30
Last Update Date:2023-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency