MEDICARE: STEPPING STONES BEHAVIORAL THERAPIES

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	252Y00000X	Early Intervention Provider Agency

General Provider Information

NPI Number	:	1639833114
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STEPPING STONES BEHAVIORAL THERAPIES

Provider Business Mailing Address
First Line	:	1140 WINCHESTER AVE APT 21
Second Line	:
City	:	GLENDALE
State	:	CA
Zip	:	91201-3520
Country	:	US
Telephone Number	:	818-751-4490
Fax Number	:

Provider Business Practice Location Address
First Line	:	1140 WINCHESTER AVE APT 21
Second Line	:
City	:	GLENDALE
State	:	CA
Zip	:	91201-3520
Country	:	US
Telephone Number	:	818-751-4490
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	ANI LALAYAN
Credential	:	MA, BCBA
Telephone Number	:	818-751-4490

Provider Enumeration Date	:	10/29/2021
Last Update Date	:	10/29/2021

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Directions to “STEPPING STONES BEHAVIORAL THERAPIES ” Practice Location

Language	Start Address	Practice Location

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