Provider Demographics
NPI:1669055778
Name:SHAPING STEPS ABA, PLLC
Entity type:Organization
Organization Name:SHAPING STEPS ABA, PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ALMA
Authorized Official - Middle Name:XOCHITL
Authorized Official - Last Name:BOTELLO GARCIA
Authorized Official - Suffix:
Authorized Official - Credentials:MED, BCBA, LBA
Authorized Official - Phone:512-222-3544
Mailing Address - Street 1:12708 LEE PARK LN
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78732-2365
Mailing Address - Country:US
Mailing Address - Phone:979-599-8295
Mailing Address - Fax:
Practice Address - Street 1:12708 LEE PARK LN
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78732-2365
Practice Address - Country:US
Practice Address - Phone:979-599-8295
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-05
Last Update Date:2021-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty