Provider Demographics
NPI:1952786881
Name:BEHAVIORAL STEPPING STONES, LLC
Entity Type:Organization
Organization Name:BEHAVIORAL STEPPING STONES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MISTY
Authorized Official - Middle Name:RACHEL
Authorized Official - Last Name:PEREZ ESTEVEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:772-473-2390
Mailing Address - Street 1:16416 132ND TERRACE NORTH
Mailing Address - Street 2:
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33478
Mailing Address - Country:US
Mailing Address - Phone:772-473-2390
Mailing Address - Fax:561-364-4675
Practice Address - Street 1:16416 132ND TERRACE NORTH
Practice Address - Street 2:
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33478
Practice Address - Country:US
Practice Address - Phone:772-473-2390
Practice Address - Fax:561-364-4675
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-21
Last Update Date:2024-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
103K00000X, 251S00000X
FL1-06-2664251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty
No251S00000XAgenciesCommunity/Behavioral HealthGroup - Single Specialty