Healthcare Provider Details
I. General information
NPI: 1992635403
Provider Name (Legal Business Name): LITTLE ACHIEVERS ABA CA LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/19/2026
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
22550 TOWN CIR
MORENO VALLEY CA
92553-7502
US
IV. Provider business mailing address
324 WELDON RD
MANCHESTER NJ
08759-6239
US
V. Phone/Fax
- Phone: 732-475-3262
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103K00000X |
| Taxonomy | Behavior Analyst |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
MORDECHAI
HOCH
Title or Position: DIRECTOR
Credential:
Phone: 732-475-3262