Organization
REGION 19 EDUCATION SERVICE CENTER
Active
Organization
REGION 19 EDUCATION SERVICE CENTER
Active
Other names
A Step Forward
Organization subpart
No
Provider details
NPI number
Authorized official
SONIA E BETANCIS (DATA BILLING MANAGEMENT COORDINATOR)
(915) 780-6564
Entity
Organization
Contact information
Practice address
6611 BOEING DR, EL PASO, TX 79925-1010
(915) 780-6576
(915) 780-5303
Mailing address
6611 BOEING DR, EL PASO, TX 79925-1010
(915) 780-6576
(915) 780-5303
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
252Y00000X
Early Intervention Provider Agency
Primary
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
017440101
—
TX
Enumeration date
02/16/2007
Last updated
07/05/2024
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