Provider Demographics
NPI:1033264825
Name:WYOSTEP, INC.
Entity Type:Organization
Organization Name:WYOSTEP, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:SHANE
Authorized Official - Middle Name:ANDREW
Authorized Official - Last Name:MOORE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:307-421-5702
Mailing Address - Street 1:5237 DANIELLE CT
Mailing Address - Street 2:
Mailing Address - City:CHEYENNE
Mailing Address - State:WY
Mailing Address - Zip Code:82009-5477
Mailing Address - Country:US
Mailing Address - Phone:307-421-5702
Mailing Address - Fax:307-772-7996
Practice Address - Street 1:5237 DANIELLE CT
Practice Address - Street 2:
Practice Address - City:CHEYENNE
Practice Address - State:WY
Practice Address - Zip Code:82009-5477
Practice Address - Country:US
Practice Address - Phone:307-421-5702
Practice Address - Fax:307-772-7996
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY251C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services