Provider Demographics
NPI:1811387525
Name:STEPPING STONES ABA CENTER, LLC
Entity Type:Organization
Organization Name:STEPPING STONES ABA CENTER, LLC
Other - Org Name:STEPPING STONES ABA CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR, BEHAVIOR ANALYST
Authorized Official - Prefix:
Authorized Official - First Name:KRISTIN
Authorized Official - Middle Name:R
Authorized Official - Last Name:PURINGTON
Authorized Official - Suffix:
Authorized Official - Credentials:MS, BCBA, LBA
Authorized Official - Phone:402-934-6033
Mailing Address - Street 1:1012 LINCOLN RD
Mailing Address - Street 2:SUITE B
Mailing Address - City:BELLEVUE
Mailing Address - State:NE
Mailing Address - Zip Code:68005-3102
Mailing Address - Country:US
Mailing Address - Phone:402-934-6033
Mailing Address - Fax:402-452-3878
Practice Address - Street 1:1012 LINCOLN RD
Practice Address - Street 2:SUITE B
Practice Address - City:BELLEVUE
Practice Address - State:NE
Practice Address - Zip Code:68005-3102
Practice Address - Country:US
Practice Address - Phone:402-934-6033
Practice Address - Fax:402-452-3878
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-02
Last Update Date:2016-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty
No106S00000XBehavioral Health & Social Service ProvidersBehavior TechnicianGroup - Multi-Specialty
No222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental TherapistGroup - Multi-Specialty
No252Y00000XAgenciesEarly Intervention Provider AgencyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA600925130OtherMIS