Healthcare Provider Details

I. General information

NPI: 1265374144
Provider Name (Legal Business Name): TINYTOTSLEARNINGMINISTRYLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/08/2026
Last Update Date: 04/08/2026
Certification Date: 04/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8061 KNUE RD
INDIANAPOLIS IN
46250-1920
US

IV. Provider business mailing address

8061 KNUE RD
INDIANAPOLIS IN
46250-1920
US

V. Phone/Fax

Practice location:
  • Phone: 317-849-6958
  • Fax:
Mailing address:
  • Phone: 317-849-6958
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name: MISS CHINA MURPHY
Title or Position: DIRECTOR
Credential:
Phone: 317-452-5271