Organization Active NPI

Kiddie Steps ABA Az LLC

  • Behavior Analyst
  • Phoenix, AZ
National Provider Identifier
1619876513
Registry record updated Nov 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
KIDDIE STEPS ABA AZ LLC
Practice address
10171 N 19TH Ave Ste 10
Phoenix, AZ 85021-1940
Phone
(732) 860-8460
NPI assigned
Nov 5, 2026
Last updated
Nov 5, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2026

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

Authorized official

Name
Marc Shepard
Title
Director
Phone
(732) 860-8460

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

10171 N 19TH Ave Ste 10
Phoenix, AZ 85021-1940

Mailing address

10171 N 19TH Ave Ste 10
Phoenix, AZ 85021-1940
Phone (732) 860-8460

NPI Registry JSON

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

{
    "created_epoch": "1793836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1793836800000",
    "number": "1619876513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10171 N 19TH AVE STE 10",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850211940",
            "telephone_number": "732-860-8460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10171 N 19TH AVE STE 10",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850211940",
            "telephone_number": "732-860-8460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDDIE STEPS ABA AZ LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-11-05",
        "last_updated": "2026-11-05",
        "certification_date": "2026-11-05",
        "status": "A",
        "authorized_official_last_name": "SHEPARD",
        "authorized_official_first_name": "MARC",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "732-860-8460"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.