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General NPI Number Information
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NPI Number | 1265306492
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Entity Type | Organization
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Legal Business Name | A STEP FORWARD TO INDEPENDENCE INC.
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Dates
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Enumeration Date | 10/01/2025
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Last Update Date | 10/01/2025
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Provider Practice Location Address
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Address Line | 5310 E WILLIAM STREET RD
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City | DECATUR
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State | IL
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Zip | 62521-1874
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Country | US
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Telephone | 217-422-6361
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Fax |
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Provider Business Mailing Address
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Address Line | 5310 E WILLIAM STREET RD
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City | DECATUR
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State | IL
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Zip | 62521-1874
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Country | US
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Telephone | 217-422-6361
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/EXECUTIVE DIRECTOR
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Name | SHANNON KLASKA
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Credential | BCBA
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Telephone | 217-622-2270
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State |
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