Provider Demographics
NPI:1760825749
Name:STEP BY STEP BEHAVIORAL AND THERAPEUTIC LMSW SERVICES PLLC
Entity Type:Organization
Organization Name:STEP BY STEP BEHAVIORAL AND THERAPEUTIC LMSW SERVICES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE PROPRIETOR
Authorized Official - Prefix:
Authorized Official - First Name:BABATUNDE
Authorized Official - Middle Name:
Authorized Official - Last Name:EFUNIYI
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW
Authorized Official - Phone:917-889-1918
Mailing Address - Street 1:20 COWEN PL
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10303-2012
Mailing Address - Country:US
Mailing Address - Phone:917-889-1918
Mailing Address - Fax:
Practice Address - Street 1:20 COWEN PL
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10303-2012
Practice Address - Country:US
Practice Address - Phone:917-889-1918
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-09
Last Update Date:2017-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001041251S00000X
NY083369-1252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency
No251S00000XAgenciesCommunity/Behavioral Health