Healthcare Provider Details

I. General information

NPI: 1083357610
Provider Name (Legal Business Name): STEPPING STONES BEHAVIORAL SERVICES INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/20/2022
Last Update Date: 12/12/2022
Certification Date: 12/12/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1503 15TH LN
GREENACRES FL
33463-4359
US

IV. Provider business mailing address

1503 15TH LN
GREENACRES FL
33463-4359
US

V. Phone/Fax

Practice location:
  • Phone: 561-294-6247
  • Fax:
Mailing address:
  • Phone: 561-294-6247
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: REINA I. VALDEZ
Title or Position: BCBA
Credential:
Phone: 561-294-6247