MEDICARE: STEPPING UP TO SUCCESS 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	:	1770422040
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STEPPING UP TO SUCCESS THERAPY LLC

Provider Business Mailing Address
First Line	:	50 JULE CT
Second Line	:
City	:	LAKEWOOD
State	:	NJ
Zip	:	08701-3753
Country	:	US
Telephone Number	:	732-569-0138
Fax Number	:

Provider Business Practice Location Address
First Line	:	50 JULE CT
Second Line	:
City	:	LAKEWOOD
State	:	NJ
Zip	:	08701-3753
Country	:	US
Telephone Number	:	732-569-0138
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	TZIVIA SHREIBMAN
Credential	:	BCBA
Telephone Number	:	732-569-0138

Provider Enumeration Date	:	03/25/2026
Last Update Date	:	03/25/2026

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