Basic Information
| Provider Information | |||||||||
| NPI: | 1033663430 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | STEPPING STONES BEHAVIORAL SOLUTIONS LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 7405 WESTFIELD BLVD | ||||||||
| Address2: | |||||||||
| City: | INDIANAPOLIS | ||||||||
| State: | IN | ||||||||
| PostalCode: | 462403056 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3179182689 | ||||||||
| FaxNumber: | 3179730196 | ||||||||
| Practice Location | |||||||||
| Address1: | 7405 WESTFIELD BLVD | ||||||||
| Address2: | |||||||||
| City: | INDIANAPOLIS | ||||||||
| State: | IN | ||||||||
| PostalCode: | 462403056 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3179182689 | ||||||||
| FaxNumber: | 3179182689 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/15/2016 | ||||||||
| LastUpdateDate: | 11/30/2020 | ||||||||
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| AuthorizedOfficialLastName: | ROBINSON | ||||||||
| AuthorizedOfficialFirstName: | VERONICA | ||||||||
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| AuthorizedOfficialTitleorPosition: | M.S.,BCBA | ||||||||
| AuthorizedOfficialTelephone: | 3179182689 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | M.S.,BCBA | ||||||||
| NPICertificationDate: | 11/30/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 103T00000X | N | 193200000X MULTI-SPECIALTY GROUP | Behavioral Health & Social Service Providers | Psychologist | 235Z00000X | N | 193200000X MULTI-SPECIALTY GROUP | Speech, Language and Hearing Service Providers | Speech-Language Pathologist | 261QM0855X | N | Ambulatory Health Care Facilities | Clinic/Center | Adolescent and Children Mental Health | 103K00000X | 1-16-22488 | IN | Y | 193200000X MULTI-SPECIALTY GROUP | Behavioral Health & Social Service Providers | Behavioral Analyst |
No ID Information.