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General NPI Number Information
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NPI Number | 1609769249
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Entity Type | Organization
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Legal Business Name | CREATIVE STEPS THERAPY, LLC
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Dates
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Enumeration Date | 06/02/2025
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Last Update Date | 06/02/2025
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Provider Practice Location Address
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Address Line | 1365 XAVIER ST
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City | DENVER
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State | CO
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Zip | 80204-1019
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Country | US
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Telephone | 303-547-9784
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Fax |
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Provider Business Mailing Address
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Address Line | 1365 XAVIER ST
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City | DENVER
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State | CO
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Zip | 80204-1019
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Country | US
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Telephone | 949-636-3962
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | JESSICA B DILLARD
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Credential | MS, BCBA
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Telephone | 949-636-3962
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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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