Provider Demographics
NPI:1669759601
Name:STEPPING STONES LEARNING CENTER
Entity type:Organization
Organization Name:STEPPING STONES LEARNING CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARIELLEN
Authorized Official - Middle Name:L
Authorized Official - Last Name:CUPINI
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, SDA, SLP
Authorized Official - Phone:585-467-4567
Mailing Address - Street 1:41 COLEBROOK DR
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14617-2211
Mailing Address - Country:US
Mailing Address - Phone:585-467-4567
Mailing Address - Fax:585-467-6973
Practice Address - Street 1:41 COLEBROOK DR
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14617-2211
Practice Address - Country:US
Practice Address - Phone:585-467-4567
Practice Address - Fax:585-467-6973
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-04
Last Update Date:2011-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001834-1252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency