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General NPI Number Information
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NPI Number | 1558221333
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Entity Type | Organization
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Legal Business Name | FIRST STEPS AUTISM CENTER
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Dates
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Enumeration Date | 11/14/2025
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Last Update Date | 12/15/2025
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Provider Practice Location Address
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Address Line | 859 S YELLOWSTONE HWY STE 1003
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City | REXBURG
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State | ID
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Zip | 83440-6201
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Country | US
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Telephone | 208-402-5153
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Fax |
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Provider Business Mailing Address
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Address Line | 859 S YELLOWSTONE HWY STE 1003
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City | REXBURG
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State | ID
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Zip | 83440-6201
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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 | OWNER/OPERATOR
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Name | MR. ROBERT MARSHALL RICKS
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Credential |
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Telephone | 208-402-5153
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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Taxonomy #2
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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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