MEDICARE: CONNECTING THE STEPS, 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
1	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1407627011
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CONNECTING THE STEPS, LLC

Provider Business Mailing Address
First Line	:	1446 KEMPSVILLE RD STE 203
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23464-7300
Country	:	US
Telephone Number	:	757-639-7919
Fax Number	:

Provider Business Practice Location Address
First Line	:	1446 KEMPSVILLE RD STE 203
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23464-7300
Country	:	US
Telephone Number	:	757-639-7919
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ALEKSANDRA GOJKOVIC
Credential	:
Telephone Number	:	757-639-7919

Provider Enumeration Date	:	01/11/2024
Last Update Date	:	07/25/2024

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