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Organization
SUPPORTIVE STEPS SERVICES INC
Active
Organization
SUPPORTIVE STEPS SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PASQUALE BOLOGNESE MD (CLINICAL DIRECTOR)
(707) 494-3178
Entity
Organization
Contact information
Practice address
6620 REDWOOD DR, ROHNERT PARK, CA 94928-2388
(707) 494-3178
Mailing address
6620 REDWOOD DR, ROHNERT PARK, CA 94928-2388
(707) 494-3178
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/20/2024
Last updated
09/02/2024
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