A Step Up Behavioral Services LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

A STEP UP BEHAVIORAL SERVICES LLC

Practice address

540 W Iron Ave Ste 218
Mesa, AZ 85210-6027

Phone

(775) 378-8664

NPI assigned

Aug 26, 2022

Last updated

Aug 26, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Stephanie C JohnsonNPI 1487284485

Title

Owner

Phone

(775) 378-8664

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Stephanie Johnson

  • Assistant Behavior Analyst
  • Reno, NV
  • NPI 1487284485
  NPD Authorized official
• Arianna Johnson

  • Assistant Behavior Analyst
  • Sparks, NV
  • NPI 1467048330
  NPD

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

{
    "created_epoch": "1661472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661472000000",
    "number": "1467171900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1641 TOPEKA CIR",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894348866",
            "telephone_number": "775-378-8664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 W IRON AVE STE 218",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852106027",
            "telephone_number": "775-378-8664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A STEP UP BEHAVIORAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-26",
        "last_updated": "2022-08-26",
        "certification_date": "2022-08-26",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "775-378-8664"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2022; 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.