MEDICARE: DELICATE STEPS, INC.

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	106E00000X	Assistant Behavior Analyst
2	106S00000X	Behavior Technician
3	251S00000X	Community/Behavioral Health Agency
4	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1720768112
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DELICATE STEPS, INC.

Provider Business Mailing Address
First Line	:	591 SW SADWICK AVE
Second Line	:
City	:	PORT ST LUCIE
State	:	FL
Zip	:	34953-3867
Country	:	US
Telephone Number	:	772-212-8900
Fax Number	:	772-291-9422

Provider Business Practice Location Address
First Line	:	591 SW SADWICK AVE
Second Line	:
City	:	PORT ST LUCIE
State	:	FL
Zip	:	34953-3867
Country	:	US
Telephone Number	:	772-212-8900
Fax Number	:	772-291-9422

Authorized Official
Title or Position	:	CEO
Name	:	JOANN RIVERA DECICCO
Credential	:
Telephone Number	:	772-212-8900

Provider Enumeration Date	:	07/20/2023
Last Update Date	:	07/21/2024

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Directions to “DELICATE STEPS, INC. ” Practice Location

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