Healthcare Provider Details

I. General information

NPI: 1902401920
Provider Name (Legal Business Name): STEPPING STONES BEHAVIORAL SOLUTIONS DOWNTOWN LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/30/2020
Last Update Date: 11/27/2021
Certification Date: 11/27/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1050 E MARKET ST
INDIANAPOLIS IN
46202-3827
US

IV. Provider business mailing address

3184 SMOKEY RIDGE LN
CARMEL IN
46033-8513
US

V. Phone/Fax

Practice location:
  • Phone: 317-918-2689
  • Fax: 317-973-0196
Mailing address:
  • Phone: 317-937-5191
  • 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 Code103T00000X
TaxonomyPsychologist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: VERONICA ROBINSON
Title or Position: OWNER
Credential: BCBA
Phone: 317-937-5191