Provider Demographics
NPI:1720607054
Name:BUILDING BLOCKS AUTISM SOLUTIONS
Entity type:Organization
Organization Name:BUILDING BLOCKS AUTISM SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO AND BEHAVIOR ANALYST
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:JR
Authorized Official - Last Name:RODRIGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA, LABA
Authorized Official - Phone:413-285-7524
Mailing Address - Street 1:900 RIVERDALE ST STE 203
Mailing Address - Street 2:
Mailing Address - City:WEST SPRINGFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01089-4900
Mailing Address - Country:US
Mailing Address - Phone:413-285-7524
Mailing Address - Fax:
Practice Address - Street 1:900 RIVERDALE ST STE 203
Practice Address - Street 2:
Practice Address - City:WEST SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01089-4900
Practice Address - Country:US
Practice Address - Phone:413-285-7524
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-16
Last Update Date:2020-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty