Healthcare Provider Details

I. General information

NPI: 1972460590
Provider Name (Legal Business Name): LITTLE LEAVES BEHAVIOR THERAPIES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/06/2026
Last Update Date: 01/06/2026
Certification Date: 01/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8098 SANDPIPER CIR STE A
NOTTINGHAM MD
21236-4974
US

IV. Provider business mailing address

8098 SANDPIPER CIR STE A
NOTTINGHAM MD
21236-4974
US

V. Phone/Fax

Practice location:
  • Phone: 202-992-7257
  • Fax:
Mailing address:
  • Phone: 202-992-7257
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: JENNIFER LEWIS
Title or Position: DIRECTOR OF CENTER DEVELOPMENT
Credential:
Phone: 202-992-7257