Provider Demographics
NPI:1356757223
Name:STEPPING STONES BEHAVIOR CONSULTING, INC.
Entity type:Organization
Organization Name:STEPPING STONES BEHAVIOR CONSULTING, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KELLY
Authorized Official - Middle Name:K
Authorized Official - Last Name:BRYSON
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:724-816-5112
Mailing Address - Street 1:126 HUNTING VIEW DR
Mailing Address - Street 2:
Mailing Address - City:IRMO
Mailing Address - State:SC
Mailing Address - Zip Code:29063-7949
Mailing Address - Country:US
Mailing Address - Phone:724-816-5112
Mailing Address - Fax:
Practice Address - Street 1:126 HUNTING VIEW DR
Practice Address - Street 2:
Practice Address - City:IRMO
Practice Address - State:SC
Practice Address - Zip Code:29063-7949
Practice Address - Country:US
Practice Address - Phone:724-816-5112
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-10
Last Update Date:2014-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health