MEDICARE: STEPPING STONES BEHAVIORAL SERVICES INC.

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	251S00000X	Community/Behavioral Health Agency
2	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1083357610
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STEPPING STONES BEHAVIORAL SERVICES INC.

Provider Business Mailing Address
First Line	:	1503 15TH LN
Second Line	:
City	:	GREENACRES
State	:	FL
Zip	:	33463-4359
Country	:	US
Telephone Number	:	561-294-6247
Fax Number	:

Provider Business Practice Location Address
First Line	:	1503 15TH LN
Second Line	:
City	:	GREENACRES
State	:	FL
Zip	:	33463-4359
Country	:	US
Telephone Number	:	561-294-6247
Fax Number	:

Authorized Official
Title or Position	:	BCBA
Name	:	REINA I. VALDEZ
Credential	:
Telephone Number	:	561-294-6247

Provider Enumeration Date	:	04/20/2022
Last Update Date	:	12/12/2022

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