Healthcare Provider Details

I. General information

NPI: 1477384592
Provider Name (Legal Business Name): BABY STEPS BEHAVIORAL SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/10/2024
Last Update Date: 08/10/2024
Certification Date: 08/10/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 S PINE ISLAND RD STE 249
PLANTATION FL
33324-2631
US

IV. Provider business mailing address

700 NW 93RD TER
HOLLYWOOD FL
33024
US

V. Phone/Fax

Practice location:
  • Phone: 305-308-6519
  • Fax:
Mailing address:
  • Phone: 305-308-6519
  • 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 Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name: MRS. YENY MILA RAMOS
Title or Position: CEU/ OWNER
Credential: BCBA
Phone: 305-308-6519