Provider Demographics
NPI:1568869311
Name:STEPS LLC
Entity Type:Organization
Organization Name:STEPS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER/ADMINISTRATIVE DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:SHANE
Authorized Official - Middle Name:K H
Authorized Official - Last Name:MIRAMONTEZ
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:206-829-9328
Mailing Address - Street 1:2366 EASTLAKE AVE E STE 102
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98102-3391
Mailing Address - Country:US
Mailing Address - Phone:206-829-9328
Mailing Address - Fax:
Practice Address - Street 1:2366 EASTLAKE AVE E STE 102
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98102-3391
Practice Address - Country:US
Practice Address - Phone:206-829-9328
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-21
Last Update Date:2014-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency