Healthcare Provider Details

I. General information

NPI: 1770008294
Provider Name (Legal Business Name): STEP BY STEP ACADEMY, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/05/2017
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7975 NW 154TH STREET SUITE 230
MIAMI LAKES FL
33016
US

IV. Provider business mailing address

7975 NW 154TH STREET SUITE 230
MIAMI LAKES FL
33016
US

V. Phone/Fax

Practice location:
  • Phone: 305-874-7245
  • Fax: 305-874-0992
Mailing address:
  • Phone: 305-874-7245
  • Fax: 305-874-0992

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JANLY DIAZ
Title or Position: PRESIDENT
Credential: BCBA
Phone: 305-874-7245