Provider Demographics
NPI:1003159203
Name:STEP BY STEP EDU-PLAY
Entity Type:Organization
Organization Name:STEP BY STEP EDU-PLAY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATIONS DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:S
Authorized Official - Last Name:COX
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-581-0590
Mailing Address - Street 1:1412 14TH ST
Mailing Address - Street 2:
Mailing Address - City:SANTA MONICA
Mailing Address - State:CA
Mailing Address - Zip Code:90404-2704
Mailing Address - Country:US
Mailing Address - Phone:310-339-9092
Mailing Address - Fax:310-597-0020
Practice Address - Street 1:1412 14TH ST
Practice Address - Street 2:
Practice Address - City:SANTA MONICA
Practice Address - State:CA
Practice Address - Zip Code:90404-2704
Practice Address - Country:US
Practice Address - Phone:310-339-9092
Practice Address - Fax:310-587-0020
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-05
Last Update Date:2016-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFT 52930251S00000X
CAMFT 77513251S00000X
CABCBA 1-13-14270251S00000X
CABCBA 1-10-6879251S00000X
CA44050252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes252Y00000XAgenciesEarly Intervention Provider Agency
No251S00000XAgenciesCommunity/Behavioral Health