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NPI Code Detail

MEDICARE: STEPPING STONES ASSESSMENT AND THERAPEUTIC SERVICES, LLC

MEDICARE: STEPPING STONES ASSESSMENT AND THERAPEUTIC SERVICES, 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
1252Y00000XEarly Intervention Provider Agency

General Provider Information

NPI Number : 1760614333
Entity Type Code : Organization
Provider Name (Legal Business Name) : STEPPING STONES ASSESSMENT AND THERAPEUTIC SERVICES, LLC
Provider Business Mailing Address
First Line : 1703 N MCMULLEN BOOTH ROAD UNIT 1440
Second Line :
City : SAFETY HARBOR
State : FL
Zip : 34695-9653
Country : US
Telephone Number : 727-485-4660
Fax Number :
Provider Business Practice Location Address
First Line : 1703 N MCMULLEN BOOTH ROAD UNIT 1440
Second Line :
City : SAFETY HARBOR
State : FL
Zip : 34695-9653
Country : US
Telephone Number : 727-485-4660
Fax Number :
Authorized Official
Title or Position : OWNER
Name : DR. JENNIFER MOON
Credential : PH.D
Telephone Number : 727-485-4660
Provider Enumeration Date : 08/17/2009
Last Update Date : 04/02/2024

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Directions to “STEPPING STONES ASSESSMENT AND THERAPEUTIC SERVICES, LLC ” Practice Location

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