Provider Demographics
NPI: | 1487534079 |
---|---|
Name: | STEPWISE KIDS THERAPY |
Entity type: | Organization |
Organization Name: | STEPWISE KIDS THERAPY |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | VICE PRESIDENT |
Authorized Official - Prefix: | |
Authorized Official - First Name: | DIEUDONNE |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | CESAR |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | BCBA |
Authorized Official - Phone: | 845-480-4452 |
Mailing Address - Street 1: | 2393 S CONGRESS AVE STE 130 |
Mailing Address - Street 2: | |
Mailing Address - City: | WEST PALM BEACH |
Mailing Address - State: | FL |
Mailing Address - Zip Code: | 33406-7628 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 561-202-7915 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 933 REDBUD AVE |
Practice Address - Street 2: | |
Practice Address - City: | TALLAHASSEE |
Practice Address - State: | FL |
Practice Address - Zip Code: | 32303-3919 |
Practice Address - Country: | US |
Practice Address - Phone: | 845-480-4452 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2025-09-04 |
Last Update Date: | 2025-09-20 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 252Y00000X | Agencies | Early Intervention Provider Agency | ||
No | 103K00000X | Behavioral Health & Social Service Providers | Behavior Analyst | Group - Single Specialty |