MEDICARE: SHINING STEPS ABA OF OHIO LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1063364453
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SHINING STEPS ABA OF OHIO LLC

Provider Business Mailing Address
First Line	:	2941 W FARGO AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60645-1222
Country	:	US
Telephone Number	:	872-203-3994
Fax Number	:	872-203-3994

Provider Business Practice Location Address
First Line	:	6545 MARKET AVE N STE 100
Second Line	:
City	:	CANTON
State	:	OH
Zip	:	44721-2430
Country	:	US
Telephone Number	:	872-203-3994
Fax Number	:	872-203-3994

Authorized Official
Title or Position	:	CFO
Name	:	ASHER STEIN
Credential	:
Telephone Number	:	872-203-3994

Provider Enumeration Date	:	02/10/2026
Last Update Date	:	02/10/2026

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Directions to “SHINING STEPS ABA OF OHIO LLC ” Practice Location

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