=====================================================
General NPI Number Information
=====================================================
NPI Number | 1164373395
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | LEARNING STEPS DIAGNOSTICS AND EDUCATIONAL CENTER, LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/04/2026
-----------------------------------------------------
Last Update Date | 04/20/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1860 SW FOUNTAINVIEW BLVD STE 100
-----------------------------------------------------
City | PORT ST LUCIE
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 34986-4528
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 772-233-3236
-----------------------------------------------------
Fax | 772-879-5455
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1860 SW FOUNTAINVIEW BLVD STE 100
-----------------------------------------------------
City | PORT ST LUCIE
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 34986-4528
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 772-233-3236
-----------------------------------------------------
Fax | 772-879-5455
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | MS. ISIS ORUE
-----------------------------------------------------
Credential | ED. S, LSP, NCSP
-----------------------------------------------------
Telephone | 772-233-3236
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 103TS0200X
-----------------------------------------------------
Taxonomy Name | School Psychologist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 103T00000X
-----------------------------------------------------
Taxonomy Name | Psychologist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------