Healthcare Provider Details
I. General information
NPI: 1750352266
Provider Name (Legal Business Name): BUILDING BLOCKS, INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/01/2006
Last Update Date: 01/13/2025
Certification Date: 01/13/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1007 LAKE EMERALD DR
ORLANDO FL
32806-1424
US
IV. Provider business mailing address
671 GOODLETTE RD N #140
NAPLES FL
34102-5458
US
V. Phone/Fax
- Phone: 407-720-4233
- Fax: 866-352-2210
- Phone: 239-434-9512
- Fax: 239-643-5908
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 235Z00000X |
| Taxonomy | Speech-Language Pathologist |
| License Number | SA0000255 |
| License Number State | FL |
VIII. Authorized Official
Name: MS.
CHARLENE
A
WESTMAN
Title or Position: PRESIDENT
Credential: M.A., CCC/SLP
Phone: 407-720-4233