Healthcare Provider Details

I. General information

NPI: 1710737242
Provider Name (Legal Business Name): STEP AHEAD ABA CO LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/26/2024
Last Update Date: 04/12/2024
Certification Date: 04/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7700 E ARAPAHOE RD STE 220
CENTENNIAL CO
80112-1268
US

IV. Provider business mailing address

4225 MAYFIELD RD STE 203
SOUTH EUCLID OH
44121-3037
US

V. Phone/Fax

Practice location:
  • Phone: 888-238-1818
  • Fax: 855-915-1521
Mailing address:
  • Phone: 888-238-1818
  • Fax: 855-915-1521

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: JAY LEVIN
Title or Position: FOUNDER/CEO
Credential:
Phone: 888-238-1818