Healthcare Provider Details

I. General information

NPI: 1811387525
Provider Name (Legal Business Name): STEPPING STONES ABA CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/02/2015
Last Update Date: 09/29/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1012 LINCOLN RD SUITE B
BELLEVUE NE
68005-3102
US

IV. Provider business mailing address

1012 LINCOLN RD SUITE B
BELLEVUE NE
68005-3102
US

V. Phone/Fax

Practice location:
  • Phone: 402-934-6033
  • Fax: 402-452-3878
Mailing address:
  • Phone: 402-934-6033
  • Fax: 402-452-3878

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
# 3
Primary TaxonomyN
Taxonomy Code222Q00000X
TaxonomyDevelopmental Therapist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number State

VIII. Authorized Official

Name: KRISTIN R PURINGTON
Title or Position: DIRECTOR, BEHAVIOR ANALYST
Credential: MS, BCBA, LBA
Phone: 402-934-6033