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General NPI Number Information
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NPI Number | 1760825749
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Entity Type | Organization
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Legal Business Name | STEP BY STEP BEHAVIORAL AND THERAPEUTIC LMSW SERVICES PLLC
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Dates
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Enumeration Date | 04/09/2013
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Last Update Date | 01/18/2017
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Provider Practice Location Address
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Address Line | 20 COWEN PL
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City | STATEN ISLAND
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State | NY
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Zip | 10303-2012
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Country | US
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Telephone | 917-889-1918
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Fax |
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Provider Business Mailing Address
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Address Line | 20 COWEN PL
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City | STATEN ISLAND
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State | NY
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Zip | 10303-2012
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Country | US
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Telephone | 917-889-1918
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Fax |
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Authorized Official
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Title or Position | SOLE PROPRIETOR
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Name | BABATUNDE EFUNIYI
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Credential | LMSW
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Telephone | 917-889-1918
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 001041
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number | 083369-1
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License Number State | NY
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