Provider Demographics
NPI:1699933127
Name:STEPPING STONES BEHAVIORAL SUPPORT
Entity type:Organization
Organization Name:STEPPING STONES BEHAVIORAL SUPPORT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MEGAN
Authorized Official - Middle Name:
Authorized Official - Last Name:COCCIA
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:321-228-3765
Mailing Address - Street 1:2304 KELBROOK CT
Mailing Address - Street 2:
Mailing Address - City:OVIEDO
Mailing Address - State:FL
Mailing Address - Zip Code:32765-2300
Mailing Address - Country:US
Mailing Address - Phone:321-228-3765
Mailing Address - Fax:
Practice Address - Street 1:2304 KELBROOK CT
Practice Address - Street 2:
Practice Address - City:OVIEDO
Practice Address - State:FL
Practice Address - Zip Code:32765-2300
Practice Address - Country:US
Practice Address - Phone:321-228-3765
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-31
Last Update Date:2025-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL691548596Medicaid
FL691548598Medicaid