Organization
IN STEPPS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YVONNE ELISABETH BRUINSMA PH.D, BCBA-D (CEO)
(949) 474-1493
Entity
Organization
Contact information
Practice address
8303 CLAIREMONT MESA BLVD STE 201202, SAN DIEGO, CA 92111-1326
(619) 000-0000
Mailing address
8303 CLAIREMONT MESA BLVD STE 201202, SAN DIEGO, CA 92111-1326
(949) 474-1493
(949) 726-8324
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
251S00000X
Community/Behavioral Health Agency
1-08-4278
CA
251S00000X
Community/Behavioral Health Agency
Primary
—
—
252Y00000X
Early Intervention Provider Agency
—
—
261Q00000X
Clinic/Center
—
—
261QA3000X
Augmentative Communication Clinic/Center
—
—
261QH0700X
Hearing and Speech Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Enumeration date
03/19/2012
Last updated
07/27/2023
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