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NPI Code Detail

MEDICARE: IN STEPPS, INC

MEDICARE: IN STEPPS, 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
1103TC2200XClinical Child & Adolescent Psychologist
2251S00000XCommunity/Behavioral Health Agency1-08-4278CA
3252Y00000XEarly Intervention Provider Agency
4261Q00000XClinic/Center
5261QA3000XAugmentative Communication Clinic/Center
6261QH0700XHearing and Speech Clinic/Center
7261QM1300XMulti-Specialty Clinic/Center
8251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1487929808
Entity Type Code : Organization
Provider Name (Legal Business Name) : IN STEPPS, INC
Provider Business Mailing Address
First Line : 8303 CLAIREMONT MESA BLVD STE 201202
Second Line :
City : SAN DIEGO
State : CA
Zip : 92111-1326
Country : US
Telephone Number : 949-474-1493
Fax Number : 949-726-8324
Provider Business Practice Location Address
First Line : 8303 CLAIREMONT MESA BLVD STE 201202
Second Line :
City : SAN DIEGO
State : CA
Zip : 92111-1326
Country : US
Telephone Number : 619-000-0000
Fax Number :
Authorized Official
Title or Position : CEO
Name : YVONNE ELISABETH BRUINSMA
Credential : PH.D, BCBA-D
Telephone Number : 949-474-1493
Provider Enumeration Date : 03/19/2012
Last Update Date : 07/27/2023

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Directions to “IN STEPPS, INC ” Practice Location

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