Healthcare Provider Details

I. General information

NPI: 1073447520
Provider Name (Legal Business Name): STEPPING STONES ASSESSMENT AND THERAPEUTIC SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/10/2026
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1703 N MCMULLEN BOOTH RD UNIT 1440
SAFETY HARBOR FL
34695-9653
US

IV. Provider business mailing address

1703 N MCMULLEN BOOTH RD UNIT 1440
SAFETY HARBOR FL
34695-9653
US

V. Phone/Fax

Practice location:
  • Phone: 727-485-4660
  • Fax:
Mailing address:
  • Phone: 727-485-4660
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code222Q00000X
TaxonomyDevelopmental Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JENNIFER MOON
Title or Position: OWNER
Credential: PH.D
Phone: 727-485-4660