MEDICARE: LITTLE WONDERS BEHAVIORAL & SPEECH THERAPY

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	106S00000X	Behavior Technician
2	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1245172584
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LITTLE WONDERS BEHAVIORAL & SPEECH THERAPY

Provider Business Mailing Address
First Line	:	447 LONG BEACH BAY DR
Second Line	:
City	:	KATY
State	:	TX
Zip	:	77493-6440
Country	:	US
Telephone Number	:	713-898-0675
Fax Number	:	713-898-0675

Provider Business Practice Location Address
First Line	:	447 LONG BEACH BAY DR
Second Line	:
City	:	KATY
State	:	TX
Zip	:	77493-6440
Country	:	US
Telephone Number	:	713-898-0675
Fax Number	:	713-898-0675

Authorized Official
Title or Position	:	OWNER
Name	:	ABIEYUWA KELLIE OKPOR
Credential	:	OSAZUWA
Telephone Number	:	713-898-0675

Provider Enumeration Date	:	04/07/2026
Last Update Date	:	04/07/2026

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