| Building Blocks Behavioral Center Llc | |
|
316 N Lewis St Lagrange GA 30240-2740 | |
| (706) 298-6381 | |
| (866) 812-9807 |
| Full Name | Building Blocks Behavioral Center Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 316 N Lewis St, Lagrange, Georgia |
| Authorized Official Name and Position | Paulette Dukes (OWNER) |
| Authorized Official Contact | 7063029695 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Building Blocks Behavioral Center Llc Po Box 154 Lagrange GA 30241-0003 Ph: () - | Building Blocks Behavioral Center Llc 316 N Lewis St Lagrange GA 30240-2740 Ph: (706) 298-6381 |
| NPI Number | 1699248815 |
|---|---|
| Provider Enumeration Date | 01/10/2019 |
| Last Update Date | 08/15/2022 |
| Certification Date | 08/15/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699248815 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Secondary |
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