MEDICARE: LITTLE VICTORIES ABA SERVICES 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	:	1306797055
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LITTLE VICTORIES ABA SERVICES LLC

Provider Business Mailing Address
First Line	:	6961 COUNTY ROAD 913
Second Line	:
City	:	GODLEY
State	:	TX
Zip	:	76044-3302
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6961 COUNTY ROAD 913
Second Line	:
City	:	GODLEY
State	:	TX
Zip	:	76044-3302
Country	:	US
Telephone Number	:	940-333-3165
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	KIERSTEN LEE WOOD
Credential	:
Telephone Number	:	856-899-4366

Provider Enumeration Date	:	02/09/2026
Last Update Date	:	02/09/2026

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Directions to “LITTLE VICTORIES ABA SERVICES LLC ” Practice Location

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