Healthcare Provider Details

I. General information

NPI: 1033927793
Provider Name (Legal Business Name): STEP AHEAD ABA OH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/26/2024
Last Update Date: 12/26/2024
Certification Date: 12/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2390 WEDGEWOOD DR UNIT 6250
AKRON OH
44312-2479
US

IV. Provider business mailing address

PO BOX 6250
AKRON OH
44312-0250
US

V. Phone/Fax

Practice location:
  • Phone: 888-238-1818
  • Fax: 855-915-1521
Mailing address:
  • Phone: 888-238-1818
  • Fax: 855-915-1521

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name: JAY LEVIN
Title or Position: MANAGER
Credential:
Phone: 463-213-3882