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NPI Code Detail

MEDICARE: STEP AHEAD ABA AZ LLC

MEDICARE: STEP AHEAD ABA AZ LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106E00000XAssistant Behavior Analyst
2106S00000XBehavior Technician
3103K00000XBehavior Analyst

General Provider Information

NPI Number : 1093412116
Entity Type Code : Organization
Provider Name (Legal Business Name) : STEP AHEAD ABA AZ LLC
Provider Business Mailing Address
First Line : 2 N CENTRAL AVE STE 1800
Second Line :
City : PHOENIX
State : AZ
Zip : 85004-2139
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2 N CENTRAL AVE STE 1800
Second Line :
City : PHOENIX
State : AZ
Zip : 85004-2139
Country : US
Telephone Number : 888-238-1818
Fax Number :
Authorized Official
Title or Position : MANAGER
Name : JAY LEVIN
Credential :
Telephone Number : 317-296-7730
Provider Enumeration Date : 02/09/2023
Last Update Date : 02/09/2023

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Directions to “STEP AHEAD ABA AZ LLC ” Practice Location

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