=====================================================
General NPI Number Information
=====================================================
NPI Number | 1245954924
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | NEXT STEPS ABA SERVICES INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/27/2022
-----------------------------------------------------
Last Update Date | 09/27/2022
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 6300 CANOGA AVE STE 1630
-----------------------------------------------------
City | WOODLAND HILLS
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 91367-2555
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 747-900-9100
-----------------------------------------------------
Fax | 747-900-9200
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 6300 CANOGA AVE STE 1630
-----------------------------------------------------
City | WOODLAND HILLS
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 91367-2555
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 747-900-9100
-----------------------------------------------------
Fax | 747-900-9200
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | SECRETARY
-----------------------------------------------------
Name | RYAN CHRISTIAN STANLEY
-----------------------------------------------------
Credential | ESQ.
-----------------------------------------------------
Telephone | 747-900-9100
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 103K00000X
-----------------------------------------------------
Taxonomy Name | Behavior Analyst
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------