Provider Demographics
NPI:1487312583
Name:NEXT STEP ABA THERAPY
Entity type:Organization
Organization Name:NEXT STEP ABA THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/BCBA
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:
Authorized Official - Last Name:FERRENTINO
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:203-494-3444
Mailing Address - Street 1:14 MOTT ST
Mailing Address - Street 2:
Mailing Address - City:ANSONIA
Mailing Address - State:CT
Mailing Address - Zip Code:06401-1930
Mailing Address - Country:US
Mailing Address - Phone:203-494-3444
Mailing Address - Fax:
Practice Address - Street 1:14 MOTT ST
Practice Address - Street 2:
Practice Address - City:ANSONIA
Practice Address - State:CT
Practice Address - Zip Code:06401-1930
Practice Address - Country:US
Practice Address - Phone:203-494-3444
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-06
Last Update Date:2021-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty