Provider Demographics
NPI:1487929808
Name:IN STEPPS, INC
Entity type:Organization
Organization Name:IN STEPPS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:YVONNE
Authorized Official - Middle Name:ELISABETH
Authorized Official - Last Name:BRUINSMA
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, BCBA-D
Authorized Official - Phone:949-474-1493
Mailing Address - Street 1:8303 CLAIREMONT MESA BLVD STE 201202
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92111-1326
Mailing Address - Country:US
Mailing Address - Phone:949-474-1493
Mailing Address - Fax:949-726-8324
Practice Address - Street 1:8303 CLAIREMONT MESA BLVD STE 201202
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92111-1326
Practice Address - Country:US
Practice Address - Phone:619-000-0000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-19
Last Update Date:2023-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
103TC2200X, 252Y00000X, 261Q00000X, 261QA3000X, 261QH0700X, 261QM1300X, 251S00000X
CA1-08-4278251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral Health
No103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & AdolescentGroup - Multi-Specialty
No252Y00000XAgenciesEarly Intervention Provider Agency
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No261QA3000XAmbulatory Health Care FacilitiesClinic/CenterAugmentative Communication
No261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech
No261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty