MEDICARE: STEP BY STEP RESOURCE CENTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	225X00000X	Occupational Therapist
2	261QA0600X	Adult Day Care Clinic/Center
3	103K00000X	Behavior Analyst
4	1041C0700X	Clinical Social Worker
5	163W00000X	Registered Nurse
6	175T00000X	Peer Specialist
7	251B00000X	Case Management Agency
8	164X00000X	Licensed Vocational Nurse
9	101YA0400X	Addiction (Substance Use Disorder) Counselor
10	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1851196034
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STEP BY STEP RESOURCE CENTER

Provider Business Mailing Address
First Line	:	1212 W GARDENA BLVD STE B
Second Line	:
City	:	GARDENA
State	:	CA
Zip	:	90247-4896
Country	:	US
Telephone Number	:	213-645-6272
Fax Number	:

Provider Business Practice Location Address
First Line	:	1212 W GARDENA BLVD STE B
Second Line	:
City	:	GARDENA
State	:	CA
Zip	:	90247-4896
Country	:	US
Telephone Number	:	213-645-6272
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	EDWARD PARKER
Credential	:
Telephone Number	:	213-645-6272

Provider Enumeration Date	:	02/13/2025
Last Update Date	:	09/05/2025

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Directions to “STEP BY STEP RESOURCE CENTER ” Practice Location

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