Provider Demographics
NPI:1477243848
Name:BIG STEPS FOUNDATION LLC
Entity Type:Organization
Organization Name:BIG STEPS FOUNDATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LUIS
Authorized Official - Middle Name:ALBERTO
Authorized Official - Last Name:CRUZ
Authorized Official - Suffix:
Authorized Official - Credentials:MSED, BCBA, LBA, CAS
Authorized Official - Phone:914-898-5524
Mailing Address - Street 1:2420 HUNTER AVE APT 15A
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10475-5637
Mailing Address - Country:US
Mailing Address - Phone:914-898-5524
Mailing Address - Fax:
Practice Address - Street 1:2420 HUNTER AVE
Practice Address - Street 2:15A
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10475-5637
Practice Address - Country:US
Practice Address - Phone:914-898-5524
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-10
Last Update Date:2023-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty