Healthcare Provider Details

I. General information

NPI: 1043145550
Provider Name (Legal Business Name): STEP UP BEHAVIORAL SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/16/2026
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

74 BRICK BLVD STE 120
BRICK NJ
08723-7984
US

IV. Provider business mailing address

74 BRICK BLVD STE 120
BRICK NJ
08723-7984
US

V. Phone/Fax

Practice location:
  • Phone: 973-298-0763
  • Fax: 833-538-0904
Mailing address:
  • Phone: 973-298-0763
  • Fax: 833-538-0904

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number State

VIII. Authorized Official

Name: DR. JOHN VITUG
Title or Position: OWNER
Credential: PHD, LBA, BCBA-D
Phone: 973-298-0763