Healthcare Provider Details

I. General information

NPI: 1306725874
Provider Name (Legal Business Name): THE LITTLE LEARNING TREE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/29/2025
Last Update Date: 11/17/2025
Certification Date: 11/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1610 E BELVEDERE AVE
BALTIMORE MD
21239-3010
US

IV. Provider business mailing address

1610 E BELVEDERE AVE
BALTIMORE MD
21239-3010
US

V. Phone/Fax

Practice location:
  • Phone: 443-762-3386
  • Fax:
Mailing address:
  • Phone: 443-683-9931
  • Fax: 443-683-9931

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. MARQUITA JOHNSON
Title or Position: OWNER
Credential:
Phone: 443-683-9931