Organization
JESSICA VANNEST
Active
Parent organization
BUILDING BLOCKS BEHAVIOR THERAPY LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
BUILDING BLOCKS BEHAVIOR THERAPY LLC
Authorized official
CATHY ANNUNZIATA (BILLING MANAGER)
(609) 597-8397
Entity
Organization
Contact information
Practice address
500 MAIN ST, BUILDING 2, LANOKA HARBOR, NJ 08734-2228
(732) 581-7096
(732) 358-0284
Mailing address
117 OAK ST, FORKED RIVER, NJ 08731-4219
(732) 581-7096
(732) 358-0284
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
46TR00290300
NJ
Other
Enumeration date
08/21/2012
Last updated
08/21/2012
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