Provider Demographics
NPI:1568113496
Name:STEPPING STONE KIDS THERAPY LLC
Entity Type:Organization
Organization Name:STEPPING STONE KIDS THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:A
Authorized Official - Last Name:BISCARDI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:239-351-0675
Mailing Address - Street 1:708 GOODLETTE-FRANK RD N STE 1
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34102-5644
Mailing Address - Country:US
Mailing Address - Phone:239-293-7387
Mailing Address - Fax:
Practice Address - Street 1:28410 BONITA CROSSING BLVD STE 150-170
Practice Address - Street 2:
Practice Address - City:BONITA SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:34135-1014
Practice Address - Country:US
Practice Address - Phone:239-351-3715
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-12
Last Update Date:2024-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL017559205Medicaid