Provider Demographics
NPI:1699230888
Name:BEHAVIORAL BUILDING BLOCKS OF FLORIDA LLC
Entity type:Organization
Organization Name:BEHAVIORAL BUILDING BLOCKS OF FLORIDA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-CEO / DIRECTOR OF ABA
Authorized Official - Prefix:MR
Authorized Official - First Name:CURTIS
Authorized Official - Middle Name:BENJAMIN
Authorized Official - Last Name:WOJNAR
Authorized Official - Suffix:
Authorized Official - Credentials:MED, BCBA
Authorized Official - Phone:301-538-0693
Mailing Address - Street 1:1288 12TH ST N
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32250-3626
Mailing Address - Country:US
Mailing Address - Phone:301-538-0693
Mailing Address - Fax:904-515-0289
Practice Address - Street 1:1288 12TH ST N
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE BEACH
Practice Address - State:FL
Practice Address - Zip Code:32250-3626
Practice Address - Country:US
Practice Address - Phone:301-538-0693
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-01
Last Update Date:2019-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty