MEDICARE: LITTLE WINS ABA

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	:	1780572461
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LITTLE WINS ABA

Provider Business Mailing Address
First Line	:	3648 BENDEMEER RD
Second Line	:
City	:	CLEVELAND HTS
State	:	OH
Zip	:	44118-1917
Country	:	US
Telephone Number	:	216-469-0818
Fax Number	:

Provider Business Practice Location Address
First Line	:	3648 BENDEMEER RD
Second Line	:
City	:	CLEVELAND HTS
State	:	OH
Zip	:	44118-1917
Country	:	US
Telephone Number	:	216-469-0818
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	SHAYNA BASYA ZIMBERG
Credential	:	M.ED, BCBA, COBA
Telephone Number	:	216-469-0818

Provider Enumeration Date	:	06/24/2025
Last Update Date	:	06/24/2025

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