Provider Demographics
NPI:1881112670
Name:AMAZINGSTEPS THERAPY & AUTISM SERVICES
Entity type:Organization
Organization Name:AMAZINGSTEPS THERAPY & AUTISM SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MS ED/SPECIAL INSTRUCTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHISARA
Authorized Official - Middle Name:
Authorized Official - Last Name:ALIMOLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:914-817-4838
Mailing Address - Street 1:9 FERDINAND PL
Mailing Address - Street 2:
Mailing Address - City:NEW ROCHELLE
Mailing Address - State:NY
Mailing Address - Zip Code:10801-2508
Mailing Address - Country:US
Mailing Address - Phone:914-633-0218
Mailing Address - Fax:
Practice Address - Street 1:9 FERDINAND PL
Practice Address - Street 2:
Practice Address - City:NEW ROCHELLE
Practice Address - State:NY
Practice Address - Zip Code:10801-2508
Practice Address - Country:US
Practice Address - Phone:914-633-0218
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-01
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY750544252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1164836011Medicaid