Organization Active NPI

Step-in Autism Services of Alaska, L.L.C.

  • Behavior Analyst
  • Fairbanks, AK
National Provider Identifier
1427360411
Registry record updated Sep 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
STEP-IN AUTISM SERVICES OF ALASKA, L.L.C.
Doing business as
Step-In
Practice address
3568 Geraghty Ave
Fairbanks, AK 99709-4701
Phone
(907) 374-7001
Fax
(907) 374-7008
NPI assigned
Jul 8, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Linda Robertson, BCBA
Title
Manager
Phone
(907) 455-6467

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

3568 Geraghty Ave
Fairbanks, AK 99709-4701

Mailing address

3568 Geraghty Ave
Fairbanks, AK 99709-4701
Phone (907) 374-7001

Other identifiers 1

IdentifierTypeStateIssuer
1686065MedicaidAK

Other names 1

  • Step-In Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Step-in Autism Services of Alaska LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3568 Geraghty Ave
Fairbanks, AK 99709
Phone (907) 206-7402

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1278547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694476800000",
    "number": "1427360411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3568 GERAGHTY AVE",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997094701",
            "telephone_number": "907-374-7001",
            "fax_number": "907-374-7008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3568 GERAGHTY AVE",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997094701",
            "telephone_number": "907-374-7001",
            "fax_number": "907-374-7008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEP-IN AUTISM SERVICES OF ALASKA, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-08",
        "last_updated": "2023-09-12",
        "certification_date": "2023-09-12",
        "status": "A",
        "authorized_official_last_name": "ROBERTSON",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "907-455-6467",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1686065",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Step-In",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Step-In",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fairbanks, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.