MEDICARE: STEP IT UP ABA GA LLC DBA STEP IT UP ABA

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	:	1760256986
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STEP IT UP ABA GA LLC DBA STEP IT UP ABA

Provider Business Mailing Address
First Line	:	14055 CEDAR RD STE 318
Second Line	:
City	:	SOUTH EUCLID
State	:	OH
Zip	:	44118-3337
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2300 HENDERSON MILL RD NE STE 410
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30345-2704
Country	:	US
Telephone Number	:	404-800-4057
Fax Number	:	404-800-0393

Authorized Official
Title or Position	:	MANAGER
Name	:	MESHULUM YEHUDA KLUGMANN
Credential	:
Telephone Number	:	216-255-7011

Provider Enumeration Date	:	11/08/2023
Last Update Date	:	05/28/2025

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