=====================================================
General NPI Number Information
=====================================================
NPI Number | 1881337749
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | STEPPING STONES BEHAVIORAL SOLUTIONS FRANKLIN LLC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/19/2022
-----------------------------------------------------
Last Update Date | 04/19/2022
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1300 W JEFFERSON ST
-----------------------------------------------------
City | FRANKLIN
-----------------------------------------------------
State | IN
-----------------------------------------------------
Zip | 46131-9120
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 317-937-5191
-----------------------------------------------------
Fax | 317-973-0196
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 547
-----------------------------------------------------
City | NOBLESVILLE
-----------------------------------------------------
State | IN
-----------------------------------------------------
Zip | 46061-0547
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 317-937-5191
-----------------------------------------------------
Fax | 317-973-0196
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CEO
-----------------------------------------------------
Name | VERONICA ROBINSON
-----------------------------------------------------
Credential | BCBA
-----------------------------------------------------
Telephone | 317-937-5191
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 103K00000X
-----------------------------------------------------
Taxonomy Name | Behavior Analyst
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------