Healthcare Provider Details

I. General information

NPI: 1417626573
Provider Name (Legal Business Name): STEPPING STONE KIDS THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/10/2021
Last Update Date: 11/10/2022
Certification Date: 11/10/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1342 SE 46TH LN UNIT 1-3
CAPE CORAL FL
33904-8617
US

IV. Provider business mailing address

708 GOODLETTE-FRANK RD N STE 1
NAPLES FL
34102-5644
US

V. Phone/Fax

Practice location:
  • Phone: 239-351-3318
  • Fax:
Mailing address:
  • Phone: 239-293-7387
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: CHRISTINE A BISCARDI
Title or Position: CEO
Credential:
Phone: 239-351-0675