Provider Demographics
NPI:1639537921
Name:STEADY STEPS BEHAVIORAL THERAPY LLC
Entity Type:Organization
Organization Name:STEADY STEPS BEHAVIORAL THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER/ FOUNDER AND CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ANDRES
Authorized Official - Middle Name:
Authorized Official - Last Name:TICONA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-338-6447
Mailing Address - Street 1:9035 SW 156TH CT
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33196-1153
Mailing Address - Country:US
Mailing Address - Phone:305-338-6447
Mailing Address - Fax:
Practice Address - Street 1:9035 SW 156TH CT
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33196-1153
Practice Address - Country:US
Practice Address - Phone:305-338-6447
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-02
Last Update Date:2016-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health