Provider Demographics
NPI:1265306492
Name:A STEP FORWARD TO INDEPENDENCE INC.
Entity type:Organization
Organization Name:A STEP FORWARD TO INDEPENDENCE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SHANNON
Authorized Official - Middle Name:
Authorized Official - Last Name:KLASKA
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:217-622-2270
Mailing Address - Street 1:5310 E WILLIAM STREET RD
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:IL
Mailing Address - Zip Code:62521-1874
Mailing Address - Country:US
Mailing Address - Phone:217-422-6361
Mailing Address - Fax:
Practice Address - Street 1:5310 E WILLIAM STREET RD
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:IL
Practice Address - Zip Code:62521-1874
Practice Address - Country:US
Practice Address - Phone:217-422-6361
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-01
Last Update Date:2025-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services