Healthcare Provider Details
I. General information
NPI: 1013837384
Provider Name (Legal Business Name): LITTLE ACHIEVERS ABA MD LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/17/2026
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6340 SECURITY BLVD STE 100
BALTIMORE MD
21207-5284
US
IV. Provider business mailing address
324 WELDON RD
MANCHESTER NJ
08759-6239
US
V. Phone/Fax
- Phone: 732-475-3262
- Fax:
- Phone: 732-475-3262
- 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:
MARK
HOCH
Title or Position: DIRECTOR
Credential:
Phone: 732-475-3262