Provider Demographics
NPI:1740531094
Name:SHAPING LITTLE STEPS
Entity type:Organization
Organization Name:SHAPING LITTLE STEPS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BCBA
Authorized Official - Prefix:MS
Authorized Official - First Name:ADRIANA
Authorized Official - Middle Name:IVETTE
Authorized Official - Last Name:SANCHEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MA, BCBA
Authorized Official - Phone:210-789-9439
Mailing Address - Street 1:7922 CABALLO CYN
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78244-3500
Mailing Address - Country:US
Mailing Address - Phone:210-789-9439
Mailing Address - Fax:210-468-5738
Practice Address - Street 1:7922 CABALLO CYN
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78244-3500
Practice Address - Country:US
Practice Address - Phone:210-789-9439
Practice Address - Fax:210-468-5738
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-26
Last Update Date:2012-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1-11-8962251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health