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General NPI Number Information
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NPI Number | 1972499572
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Entity Type | Organization
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Legal Business Name | STEPPING STONES PEDIATRICS LLC
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Dates
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Enumeration Date | 06/18/2025
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Last Update Date | 09/06/2025
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Provider Practice Location Address
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Address Line | 12355 SUNSET SAGE AVE
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City | LAS VEGAS
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State | NV
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Zip | 89138-4719
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Country | US
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Telephone | 702-237-7563
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Fax |
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Provider Business Mailing Address
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Address Line | 12355 SUNSET SAGE AVE
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City | LAS VEGAS
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State | NV
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Zip | 89138-4719
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Country | US
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Telephone | 775-747-9111
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Fax |
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Authorized Official
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Title or Position | OWNER, C.E.O., CLINICAL DIRECTOR
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Name | ARUNA U MOHOTTIGE-SEDERE
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Credential | MS, BCBA, LBA
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Telephone | 702-237-7563
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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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