Provider Demographics
NPI:1841439528
Name:BUILDING BLOCKS COMPREHENSIVE SERVICES, INC.
Entity type:Organization
Organization Name:BUILDING BLOCKS COMPREHENSIVE SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:KELLY
Authorized Official - Middle Name:G
Authorized Official - Last Name:BATEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MSED, OTR/L
Authorized Official - Phone:585-393-0554
Mailing Address - Street 1:275 PARRISH ST
Mailing Address - Street 2:SUITE A
Mailing Address - City:CANANDAIGUA
Mailing Address - State:NY
Mailing Address - Zip Code:14424-1785
Mailing Address - Country:US
Mailing Address - Phone:585-393-0554
Mailing Address - Fax:585-393-0676
Practice Address - Street 1:275 PARRISH ST
Practice Address - Street 2:SUITE A
Practice Address - City:CANANDAIGUA
Practice Address - State:NY
Practice Address - Zip Code:14424-1785
Practice Address - Country:US
Practice Address - Phone:585-393-0554
Practice Address - Fax:585-393-0676
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-19
Last Update Date:2009-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency