Provider Demographics
NPI:1720878440
Name:STEPWISE BEHAVIOR SERVICE
Entity type:Organization
Organization Name:STEPWISE BEHAVIOR SERVICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:OVIS
Authorized Official - Middle Name:
Authorized Official - Last Name:PEREZ QUINTANA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-357-0619
Mailing Address - Street 1:1175 NE 125TH ST STE 608
Mailing Address - Street 2:
Mailing Address - City:NORTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33161-5013
Mailing Address - Country:US
Mailing Address - Phone:786-357-0619
Mailing Address - Fax:
Practice Address - Street 1:1175 NE 125TH ST STE 608
Practice Address - Street 2:
Practice Address - City:NORTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33161-5013
Practice Address - Country:US
Practice Address - Phone:786-357-0619
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-07
Last Update Date:2025-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty