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NPI 1750258414

NPI 1750258414 : CLEAR STEPS AUTISM SERVICES : PHILADELPHIA, PA

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General NPI Number Information
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    NPI Number           |    1750258414
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    Entity Type          |    Organization 
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    Legal Business Name  |    CLEAR STEPS AUTISM SERVICES 
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Dates
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    Enumeration Date     |    10/18/2025
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    Last Update Date     |    10/18/2025
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Provider Practice Location Address
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    Address Line         |    1 DOCK ST APT 2211 
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    City                 |    PHILADELPHIA
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    State                |    PA
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    Zip                  |    19106-3968
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    Country              |    US
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    Telephone            |    210-818-1313
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    502 W 7TH ST STE 100 
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    City                 |    ERIE
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    State                |    PA
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    Zip                  |    16502-1333
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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    |    PARTNER
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    Name                 |     JAMEZ AMOUR BASH 
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    Credential           |    LPC
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    Telephone            |    302-468-7599
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    101YP2500X
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    Taxonomy Name        |    Professional Counselor
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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        |    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 #3
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    Taxonomy Code        |    103TC0700X
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    Taxonomy Name        |    Clinical Psychologist
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    License Number       |    
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    License Number State |    
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