# FIRST STEP EARLY INTERVENTION SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447487889
- **Authorized official:** MRS. LISA R. JOHNSON CCC-SLP (SPEECH PATHOLOGIST)
- **Authorized official phone:** (585) 259-5316

## Contact information

- **Practice address:** 4563 RIDGE RD, CANANDAIGUA, NY 14424-9600
- **Practice address phone:** (585) 259-5316
- **Practice address fax:** (585) 396-7547
- **Mailing address:** 4563 RIDGE RD, CANANDAIGUA, NY 14424-9600
- **Mailing address phone:** (585) 259-5316
- **Mailing address fax:** (585) 396-7547

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 252Y00000X | Early Intervention Provider Agency | 008351 | NY | Yes |

## Other

- **Enumeration date:** 06/12/2009
- **Last updated:** 07/04/2009