Provider Demographics
NPI:1871281501
Name:STEPPING EVOLUTION SPEECH THERAPY, INC.
Entity type:Organization
Organization Name:STEPPING EVOLUTION SPEECH THERAPY, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:YARITZA
Authorized Official - Middle Name:
Authorized Official - Last Name:QUINTANA TRINIDAD
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CCC-SLP
Authorized Official - Phone:916-761-5373
Mailing Address - Street 1:5918 FALLSTAFF ST
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95835-2705
Mailing Address - Country:US
Mailing Address - Phone:916-761-5373
Mailing Address - Fax:916-299-3751
Practice Address - Street 1:5918 FALLSTAFF ST
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95835-2705
Practice Address - Country:US
Practice Address - Phone:916-761-5373
Practice Address - Fax:916-299-3751
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-01
Last Update Date:2024-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty