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STEPPING STONES CENTER FOR AUTISTIC SPECTRUM DISORDERS, INC.

Behavioral Analyst

San Mateo, California

Provider NPI: 1669704177

Organization Information:
Organization Name:  STEPPING STONES CENTER FOR AUTISTIC SPECTRUM DISORDERS, INC.
Organization is not Subpart
Authorized Official:  VIVIAN  DAVID-NICOLAS  OWNER AND CLINICAL DIRECTOR  650-3570571

Practice Location:
3190 CLEARVIEW WAY SUITE 103 SAN MATEO, CA 94402 US
Tel: 650-357-0571  Fax: --

Business Mailing Address:
3190 CLEARVIEW WAY SUITE 103 SAN MATEO, CA 94402 US
Tel: 650-357-0571  Fax: --

Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N103K00000X

CA1084557
N235Z00000XSpeech, Language and Hearing Service Providers
Speech-Language Pathologist
CASP11976
Y252Y00000XAgencies
Early Intervention Provider Agency
CA1A41040

Other Provider Identifiers:

IssuerNumberStateType
BOARD CERTIFIED BEHAVIOR ANALYST11312944CA01
NONPUBLIC AGENCY CERTIFICATION1A41040CA01
BOARD CERTIFIED BEHAVIOR ANALYST1118273CA01
PSYD18968CA01
BOARD CERTIFIED BEHAVIOR ANALYST1073329CA01
LICENSED CLINICAL SOCIAL WORKERLCS 19378CA01
OCCUPATIONAL THERAPISTOT 1228CA01
BOARD CERTIFIED BEHAVIOR ANALYST1118412CA01
MARRIAGE AND FAMILY THERAPISTMFC 33929CA01
BOARD CERTIFIED BEHAVIOR ANALYST1119431CA01
PSY20372CA01
BOARD CERTIFIED BEHAVIOR ANALYST1000357CA01
SPEECH-LANGUAGE PATHOLOGISTSP 11976CA01
BOARD CERTIFIED BEHAVIOR ANALYST1084557CA01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







BEHAVIORAL ANALYST JOBS CA - Page 1



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