Healthcare Provider Details

I. General information

NPI: 1639016413
Provider Name (Legal Business Name): AARON LITTLE JR.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/30/2026
Last Update Date: 04/30/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9418 ANNAPOLIS RD
LANHAM MD
20706-3023
US

IV. Provider business mailing address

32 FULLERTON HEIGHTS AVE
NOTTINGHAM MD
21236-4109
US

V. Phone/Fax

Practice location:
  • Phone: 202-603-3175
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number889697600
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: