| Supportive Steps Services Inc | |
|
6620 Redwood Dr Rohnert Park CA 94928-2388 | |
| (707) 494-3178 | |
| Not Available |
| Full Name | Supportive Steps Services Inc |
|---|---|
| Speciality | Behavior Technician |
| Location | 6620 Redwood Dr, Rohnert Park, California |
| Authorized Official Name and Position | Pasquale Bolognese (CLINICAL DIRECTOR) |
| Authorized Official Contact | 7074943178 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Supportive Steps Services Inc 6620 Redwood Dr Rohnert Park CA 94928-2388 Ph: (707) 494-3178 | Supportive Steps Services Inc 6620 Redwood Dr Rohnert Park CA 94928-2388 Ph: (707) 494-3178 |
| NPI Number | 1669205365 |
|---|---|
| Provider Enumeration Date | 08/20/2024 |
| Last Update Date | 09/02/2024 |
| Certification Date | 09/02/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669205365 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106S00000X | Behavior Technician | () | Primary |
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