MEDICARE: EVERY LITTLE STEP ABA, 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	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1336980762
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EVERY LITTLE STEP ABA, LLC

Provider Business Mailing Address
First Line	:	3127 E WARM SPRINGS RD STE 300
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89120-3134
Country	:	US
Telephone Number	:	702-850-8700
Fax Number	:	702-850-8707

Provider Business Practice Location Address
First Line	:	2207 COTTONDALE LN STE 2
Second Line	:
City	:	LITTLE ROCK
State	:	AR
Zip	:	72202-2018
Country	:	US
Telephone Number	:	702-914-8060
Fax Number	:	702-850-8707

Authorized Official
Title or Position	:	OWNER
Name	:	TISHA NEBRIL
Credential	:
Telephone Number	:	702-914-8060

Provider Enumeration Date	:	05/31/2024
Last Update Date	:	10/04/2024

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