Provider Demographics
NPI:1598358467
Name:FIRST STEP CHILDRENS NETWORK INC
Entity Type:Organization
Organization Name:FIRST STEP CHILDRENS NETWORK INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STEPHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:STYLIANIDES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-390-4361
Mailing Address - Street 1:340 S LEMON AVE STE 1989
Mailing Address - Street 2:
Mailing Address - City:WALNUT
Mailing Address - State:CA
Mailing Address - Zip Code:91789-2706
Mailing Address - Country:US
Mailing Address - Phone:714-390-4361
Mailing Address - Fax:
Practice Address - Street 1:473 E CARNEGIE DR
Practice Address - Street 2:SUITE 200
Practice Address - City:SAN BERNARDINO
Practice Address - State:CA
Practice Address - Zip Code:92408
Practice Address - Country:US
Practice Address - Phone:714-390-4361
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-11
Last Update Date:2021-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty