Provider Demographics
NPI:1104368844
Name:BUILDING CONNECTIONS BEHAVIORAL HEALTH, INC
Entity type:Organization
Organization Name:BUILDING CONNECTIONS BEHAVIORAL HEALTH, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JEANINE
Authorized Official - Middle Name:
Authorized Official - Last Name:WILKINSON
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:925-413-8753
Mailing Address - Street 1:710 S BROADWAY STE 250
Mailing Address - Street 2:
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94596-5234
Mailing Address - Country:US
Mailing Address - Phone:925-413-1755
Mailing Address - Fax:925-743-1601
Practice Address - Street 1:710 S BROADWAY STE 250
Practice Address - Street 2:
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94596-5234
Practice Address - Country:US
Practice Address - Phone:925-413-1755
Practice Address - Fax:925-743-1601
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-11
Last Update Date:2021-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty