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General NPI Number Information
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NPI Number | 1891659397
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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 | 12/10/2025
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Last Update Date | 12/10/2025
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Provider Practice Location Address
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Address Line | 859 S YELLOWSTONE HWY
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City | REXBURG
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State | ID
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Zip | 83440-5293
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Country | US
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Telephone | 208-402-5131
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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
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Name | BETHANY RICKS
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Credential | BCBA
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Telephone | 208-402-5131
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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