NPIMap

Organization Active NPI

Building Blocks of Life LLC

  • Behavior Analyst
  • Homewood, IL
National Provider Identifier
1689443343
Registry record updated Jul 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
BUILDING BLOCKS OF LIFE LLC
Practice address
19150 Kedzie Ave Ste 208
Homewood, IL 60430-4541
Phone
(312) 478-8467
Fax
(312) 284-2375
NPI assigned
Dec 21, 2023
Last updated
Jul 5, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Evelina BurtonNPI 1225807985
Title
Owner
Phone
(312) 937-0363

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X NU Primary

Addresses

Primary practice location

19150 Kedzie Ave Ste 208
Homewood, IL 60430-4541

Mailing address

2038 221St St
Sauk Village, IL 60411-5064
Phone (312) 478-8467

National Provider Directory

National Provider Directory

Locations

19150 Kedzie Ave
Ste 208
Homewood, IL 60430
Phone (312) 478-8467

Practitioners & affiliated clinicians

Practitioners 26

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 26

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1703116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720137600000",
    "number": "1689443343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2038 221ST ST",
            "city": "SAUK VILLAGE",
            "state": "IL",
            "postal_code": "604115064",
            "telephone_number": "312-478-8467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19150 KEDZIE AVE STE 208",
            "city": "HOMEWOOD",
            "state": "IL",
            "postal_code": "604304541",
            "telephone_number": "312-478-8467",
            "fax_number": "312-284-2375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUILDING BLOCKS OF LIFE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-21",
        "last_updated": "2024-07-05",
        "certification_date": "2024-07-05",
        "status": "A",
        "authorized_official_last_name": "BURTON",
        "authorized_official_first_name": "EVELINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "312-937-0363"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Homewood, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.