| Building Blocks Of Life Llc | |
|
19150 Kedzie Ave Ste 208 Homewood IL 60430-4541 | |
| (312) 478-8467 | |
| (312) 284-2375 |
| Full Name | Building Blocks Of Life Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 19150 Kedzie Ave Ste 208, Homewood, Illinois |
| Authorized Official Name and Position | Evelina Burton (OWNER) |
| Authorized Official Contact | 3129370363 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Building Blocks Of Life Llc 2038 221st St Sauk Village IL 60411-5064 Ph: (312) 478-8467 | Building Blocks Of Life Llc 19150 Kedzie Ave Ste 208 Homewood IL 60430-4541 Ph: (312) 478-8467 |
| NPI Number | 1689443343 |
|---|---|
| Provider Enumeration Date | 12/21/2023 |
| Last Update Date | 07/05/2024 |
| Certification Date | 07/05/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689443343 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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