Provider Demographics
NPI:1467788786
Name:TODD STEVEN & ASSOCIATES, INC.
Entity Type:Organization
Organization Name:TODD STEVEN & ASSOCIATES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT OF PROGRAMS
Authorized Official - Prefix:MR
Authorized Official - First Name:TODD
Authorized Official - Middle Name:JEROMY
Authorized Official - Last Name:KLAUER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:920-232-3649
Mailing Address - Street 1:240 ALGOMA BLVD
Mailing Address - Street 2:
Mailing Address - City:OSHKOSH
Mailing Address - State:WI
Mailing Address - Zip Code:54901-4775
Mailing Address - Country:US
Mailing Address - Phone:920-232-3649
Mailing Address - Fax:
Practice Address - Street 1:240 ALGOMA BLVD
Practice Address - Street 2:
Practice Address - City:OSHKOSH
Practice Address - State:WI
Practice Address - Zip Code:54901-4775
Practice Address - Country:US
Practice Address - Phone:920-232-3649
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-21
Last Update Date:2009-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI251C00000X, 385H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
No385H00000XRespite Care FacilityRespite Care