MEDICARE: DREAM STEPS BEHAVIORAL THERAPY 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	:	1720910151
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DREAM STEPS BEHAVIORAL THERAPY LLC

Provider Business Mailing Address
First Line	:	841 PRUDENTIAL DR STE 1200
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32207-8874
Country	:	US
Telephone Number	:	786-241-1761
Fax Number	:

Provider Business Practice Location Address
First Line	:	841 PRUDENTIAL DR STE 1200
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32207-8874
Country	:	US
Telephone Number	:	786-241-1761
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	OMAR VITON
Credential	:
Telephone Number	:	786-241-1761

Provider Enumeration Date	:	06/01/2026
Last Update Date	:	06/01/2026

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