Provider Demographics
NPI:1497117352
Name:STELLAR STEPS BEHAVIORAL SOLUTIONS
Entity Type:Organization
Organization Name:STELLAR STEPS BEHAVIORAL SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/BEHAVIOR ANALYST
Authorized Official - Prefix:MS
Authorized Official - First Name:MARIE CARMAUDELY
Authorized Official - Middle Name:LOURDIMIE
Authorized Official - Last Name:GALLIOTTE
Authorized Official - Suffix:
Authorized Official - Credentials:MS, BCBA
Authorized Official - Phone:305-297-4277
Mailing Address - Street 1:1365 NE 139TH ST
Mailing Address - Street 2:
Mailing Address - City:NORTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33161-3430
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1365 NE 139TH ST
Practice Address - Street 2:
Practice Address - City:NORTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33161-3430
Practice Address - Country:US
Practice Address - Phone:305-297-4277
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-22
Last Update Date:2016-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty