Healthcare Provider Details
I. General information
NPI: 1477420503
Provider Name (Legal Business Name): CLEARSTEPS ABA LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/22/2025
Last Update Date: 06/14/2026
Certification Date: 06/14/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4625 LINDELL BLVD # 200
SAINT LOUIS MO
63108-3725
US
IV. Provider business mailing address
4625 LINDELL BLVD # 200
SAINT LOUIS MO
63108-3725
US
V. Phone/Fax
- Phone: 631-229-6504
- Fax:
- Phone: 631-229-6504
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103K00000X |
| Taxonomy | Behavior Analyst |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
AMRAM
CARCIENTE
Title or Position: CO-OWNER
Credential:
Phone: 631-229-6504