MEDICARE: SHAPING LITTLE MINDS 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	:	1588361638
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SHAPING LITTLE MINDS LLC

Provider Business Mailing Address
First Line	:	6620 CYPRESSWOOD DR STE 150
Second Line	:
City	:	SPRING
State	:	TX
Zip	:	77379-7748
Country	:	US
Telephone Number	:	346-574-2707
Fax Number	:	832-553-2668

Provider Business Practice Location Address
First Line	:	6620 CYPRESSWOOD DR STE 150
Second Line	:
City	:	SPRING
State	:	TX
Zip	:	77379-7748
Country	:	US
Telephone Number	:	346-574-2707
Fax Number	:	832-553-2668

Authorized Official
Title or Position	:	OWNER
Name	:	MORGAN HANS
Credential	:	BCBA, LBA
Telephone Number	:	346-812-1863

Provider Enumeration Date	:	02/09/2023
Last Update Date	:	04/01/2026

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Directions to “SHAPING LITTLE MINDS LLC ” Practice Location

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