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NPI Code Detail

MEDICARE: STEP BY STEP BEHAVIOR CONCEPTS INC

MEDICARE: STEP BY STEP BEHAVIOR CONCEPTS INC
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
1103K00000XBehavior Analyst

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1871943720
Entity Type Code : Organization
Provider Name (Legal Business Name) : STEP BY STEP BEHAVIOR CONCEPTS INC
Provider Business Mailing Address
First Line : 2138 SANDRIDGE CIR
Second Line :
City : EUSTIS
State : FL
Zip : 32726-4486
Country : US
Telephone Number : 502-741-7660
Fax Number :
Provider Business Practice Location Address
First Line : 2138 SANDRIDGE CIR
Second Line :
City : EUSTIS
State : FL
Zip : 32726-4486
Country : US
Telephone Number : 502-741-7660
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : STEPHANIE MICHELLE FREEMAN
Credential : BCBA
Telephone Number : 502-741-7660
Provider Enumeration Date : 06/21/2016
Last Update Date : 06/21/2016

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Directions to “STEP BY STEP BEHAVIOR CONCEPTS INC ” Practice Location

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