| The Stepping Stones Autism Group, Llc | |
|
225 San Matteo St Georgetown TX 78628-7032 | |
| (805) 791-4219 | |
| Not Available |
| Full Name | The Stepping Stones Autism Group, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 225 San Matteo St, Georgetown, Texas |
| Authorized Official Name and Position | Douglas R Moes (PRESIDENT, CEO) |
| Authorized Official Contact | 8059159912 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Stepping Stones Autism Group, Llc 4880 Market St Ventura CA 93003-7783 Ph: (805) 915-9912 | The Stepping Stones Autism Group, Llc 225 San Matteo St Georgetown TX 78628-7032 Ph: (805) 791-4219 |
| NPI Number | 1528541398 |
|---|---|
| Provider Enumeration Date | 09/07/2018 |
| Last Update Date | 01/31/2020 |
| Certification Date | 01/31/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528541398 | NPI | - | NPPES |
| PSY16222 | Other | CA | PSY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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