Provider Demographics
NPI:1366224081
Name:BUILDING BRIDGES BEHAVIORAL SERVICES
Entity type:Organization
Organization Name:BUILDING BRIDGES BEHAVIORAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ALEXANDER
Authorized Official - Middle Name:R
Authorized Official - Last Name:LINDAMOOD
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:702-445-4865
Mailing Address - Street 1:3912 SHAWNEE RIDGE ST
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89129-3002
Mailing Address - Country:US
Mailing Address - Phone:702-445-4865
Mailing Address - Fax:
Practice Address - Street 1:3912 SHAWNEE RIDGE ST
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89129-3002
Practice Address - Country:US
Practice Address - Phone:702-445-4865
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-17
Last Update Date:2023-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty