| Building Block Resolutions | |
|
13428 Maxella Ave # 913 Marina Del Rey CA 90292-5620 | |
| (424) 272-5238 | |
| Not Available |
| Full Name | Building Block Resolutions |
|---|---|
| Speciality | Behavior Analyst |
| Location | 13428 Maxella Ave # 913, Marina Del Rey, California |
| Authorized Official Name and Position | Jennifer C Charles (OWNER) |
| Authorized Official Contact | 4242725238 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Building Block Resolutions 13428 Maxella Ave # 913 Marina Del Rey CA 90292-5620 Ph: (424) 272-5238 | Building Block Resolutions 13428 Maxella Ave # 913 Marina Del Rey CA 90292-5620 Ph: (424) 272-5238 |
| NPI Number | 1376933721 |
|---|---|
| Provider Enumeration Date | 01/23/2015 |
| Last Update Date | 01/23/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376933721 | NPI | - | NPPES |
| 002686900 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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