Provider Demographics
NPI:1619000387
Name:BABY STEPS, INC.
Entity Type:Organization
Organization Name:BABY STEPS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:CECILIA
Authorized Official - Middle Name:GARCIA
Authorized Official - Last Name:CALAQUIAN
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:407-574-8048
Mailing Address - Street 1:3205 HAWKS RIDGE PT
Mailing Address - Street 2:
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34741-7525
Mailing Address - Country:US
Mailing Address - Phone:407-574-8048
Mailing Address - Fax:407-574-3908
Practice Address - Street 1:790 6TH ST NW
Practice Address - Street 2:
Practice Address - City:WINTER HAVEN
Practice Address - State:FL
Practice Address - Zip Code:33881-4013
Practice Address - Country:US
Practice Address - Phone:863-229-8319
Practice Address - Fax:863-228-8492
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-13
Last Update Date:2008-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT13378225100000X
FLOT499225X00000X
FLOT10517225X00000X
FLOT12310225X00000X
FLSA7661235Z00000X
FLSA6687235Z00000X
FLSZ4176235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL889076500Medicaid