Provider Demographics
NPI:1114062916
Name:A STEP FORWARD, INC.
Entity Type:Organization
Organization Name:A STEP FORWARD, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMIN
Authorized Official - Prefix:MR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:GORDON
Authorized Official - Last Name:BARNEY
Authorized Official - Suffix:JR
Authorized Official - Credentials:QMRP
Authorized Official - Phone:225-751-1777
Mailing Address - Street 1:14918 JEFFERSON HWY
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70817-5217
Mailing Address - Country:US
Mailing Address - Phone:225-751-1777
Mailing Address - Fax:225-753-1310
Practice Address - Street 1:14918 JEFFERSON HWY
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70817-5217
Practice Address - Country:US
Practice Address - Phone:225-751-1777
Practice Address - Fax:225-753-1310
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LASIL10383251C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1164399Medicaid