| Stepping Stones Center For Autistic Spectrum Disorders, Inc. | |
|
3190 Clearview Way Suite 103 San Mateo CA 94402-3752 | |
| (650) 357-0571 | |
| Not Available |
| Full Name | Stepping Stones Center For Autistic Spectrum Disorders, Inc. |
|---|---|
| Speciality | Early Intervention Provider Agency |
| Location | 3190 Clearview Way, San Mateo, California |
| Authorized Official Name and Position | Vivian David-nicolas (OWNER AND CLINICAL DIRECTOR) |
| Authorized Official Contact | 6503570571 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stepping Stones Center For Autistic Spectrum Disorders, Inc. 3190 Clearview Way Suite 103 San Mateo CA 94402-3752 Ph: (650) 357-0571 | Stepping Stones Center For Autistic Spectrum Disorders, Inc. 3190 Clearview Way Suite 103 San Mateo CA 94402-3752 Ph: (650) 357-0571 |
| NPI Number | 1669704177 |
|---|---|
| Provider Enumeration Date | 02/08/2010 |
| Last Update Date | 07/03/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669704177 | NPI | - | NPPES |
| 1000357 | Other | CA | BOARD CERTIFIED BEHAVIOR ANALYST |
| 1118412 | Other | CA | BOARD CERTIFIED BEHAVIOR ANALYST |
| 18968 | Other | CA | PSYD |
| 1A41040 | Other | CA | NONPUBLIC AGENCY CERTIFICATION |
| MFC 33929 | Other | CA | MARRIAGE AND FAMILY THERAPIST |
| 1084557 | Other | CA | BOARD CERTIFIED BEHAVIOR ANALYST |
| 1119431 | Other | CA | BOARD CERTIFIED BEHAVIOR ANALYST |
| 1118273 | Other | CA | BOARD CERTIFIED BEHAVIOR ANALYST |
| SP 11976 | Other | CA | SPEECH-LANGUAGE PATHOLOGIST |
| OT 1228 | Other | CA | OCCUPATIONAL THERAPIST |
| 1073329 | Other | CA | BOARD CERTIFIED BEHAVIOR ANALYST |
| 11312944 | Other | CA | BOARD CERTIFIED BEHAVIOR ANALYST |
| 20372 | Other | CA | PSY |
| LCS 19378 | Other | CA | LICENSED CLINICAL SOCIAL WORKER |
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