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General NPI Number Information
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NPI Number | 1114525839
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Entity Type | Organization
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Legal Business Name | STEPPING STONES SUPPORTS LLC
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Dates
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Enumeration Date | 10/14/2020
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Last Update Date | 10/15/2020
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Provider Practice Location Address
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Address Line | 5221 NW 81ST TER
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City | LAUDERHILL
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State | FL
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Zip | 33351-5050
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Country | US
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Telephone | 786-224-9897
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Fax |
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Provider Business Mailing Address
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Address Line | 5221 NW 81ST TER
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City | LAUDERHILL
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State | FL
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Zip | 33351-5050
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | AMBER STONE
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Credential |
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Telephone | 786-224-9897
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106E00000X
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Taxonomy Name | Assistant Behavior Analyst
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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