MEDICARE: LADYBUG'S PLACE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1215862099
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LADYBUG'S PLACE LLC

Provider Business Mailing Address
First Line	:	380 HAWTHORNE HILLS PL APT 101
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32835-6895
Country	:	US
Telephone Number	:	689-282-7111
Fax Number	:

Provider Business Practice Location Address
First Line	:	380 HAWTHORNE HILLS PL APT 101
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32835-6895
Country	:	US
Telephone Number	:	689-282-7111
Fax Number	:

Authorized Official
Title or Position	:	BEHAVIOR ANALYST
Name	:	BRITTANI HOLT
Credential	:
Telephone Number	:	689-282-7111

Provider Enumeration Date	:	06/15/2026
Last Update Date	:	06/15/2026

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