Organization Active NPI

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

Doing business as Step-In Autism Services, CO

  • Behavior Analyst
  • Monument, CO
National Provider Identifier
1932773207
Registry record updated May 19, 2021
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 Autism Services, CO
Practice address
267 Washington St
Monument, CO 80132-9174
Phone
(719) 451-7001
NPI assigned
May 19, 2021
Last updated
May 19, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
STEP-IN AUTISM SERVICES OF ALASKA, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 19, 2021

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

Authorized official

Name
Emily Diane Ice, BCBANPI 1942452651
Title
Executive Director
Phone
(907) 347-8115

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X Primary

Addresses

Primary practice location

267 Washington St
Monument, CO 80132-9174

Mailing address

16240 Northcliff PL
Elbert, CO 80106-8863
Phone (907) 347-8115

Other names 1

  • Step-In Autism Services, CO 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
Part of
Step-in Autism Services of Alaska LLC

Other organizations with this tax ID 1

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

Locations

267 Washington St
Monument, CO 80132
Phone (719) 352-4448

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1621382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621382400000",
    "number": "1932773207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16240 NORTHCLIFF PL",
            "city": "ELBERT",
            "state": "CO",
            "postal_code": "801068863",
            "telephone_number": "907-347-8115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "267 WASHINGTON ST",
            "city": "MONUMENT",
            "state": "CO",
            "postal_code": "801329174",
            "telephone_number": "719-451-7001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEP-IN AUTISM SERVICES OF ALASKA, L.L.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STEP-IN AUTISM SERVICES OF ALASKA, LLC",
        "enumeration_date": "2021-05-19",
        "last_updated": "2021-05-19",
        "certification_date": "2021-05-19",
        "status": "A",
        "authorized_official_last_name": "ICE",
        "authorized_official_first_name": "EMILY",
        "authorized_official_middle_name": "DIANE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "907-347-8115",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Step-In Autism Services, CO",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Monument, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2021; 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.