Healthcare Provider Details

I. General information

NPI: 1184484669
Provider Name (Legal Business Name): SMALL STEPS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/20/2024
Last Update Date: 03/20/2024
Certification Date: 03/20/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1733 ANTHONY DR
PATRICK SPRINGS VA
24133-3593
US

IV. Provider business mailing address

1733 ANTHONY DR
PATRICK SPRINGS VA
24133-3593
US

V. Phone/Fax

Practice location:
  • Phone: 276-229-7468
  • Fax:
Mailing address:
  • Phone: 276-229-7468
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: WHITNEY ANNE GARCIA-MATA
Title or Position: CEO
Credential: MS, BCBA, LBA
Phone: 276-229-7468