Provider Demographics
NPI:1891569372
Name:STEPPING STONES BEHAVIORAL CENTER
Entity Type:Organization
Organization Name:STEPPING STONES BEHAVIORAL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DAVETTE
Authorized Official - Middle Name:COLLEEN
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:909-736-8344
Mailing Address - Street 1:3865 S OASIS PASEO UNIT 82
Mailing Address - Street 2:
Mailing Address - City:ONTARIO
Mailing Address - State:CA
Mailing Address - Zip Code:91761-2760
Mailing Address - Country:US
Mailing Address - Phone:190-973-6834
Mailing Address - Fax:909-804-6414
Practice Address - Street 1:3865 S OASIS PASEO UNIT 82
Practice Address - Street 2:
Practice Address - City:ONTARIO
Practice Address - State:CA
Practice Address - Zip Code:91761-2760
Practice Address - Country:US
Practice Address - Phone:909-736-8344
Practice Address - Fax:909-804-6414
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-14
Last Update Date:2023-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health