Organization
BUILDING BLOCKS CHILDREN'S THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN SISTI MS CCC-SLP (OWNER)
(574) 360-3049
Entity
Organization
Contact information
Practice address
8523 PROMONTORY RD, INDIANAPOLIS, IN 46236-9277
(317) 426-7227
Mailing address
8523 PROMONTORY RD, INDIANAPOLIS, IN 46236-9277
(317) 426-7227
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3000027511
—
IN
Enumeration date
08/31/2019
Last updated
08/31/2019
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