Healthcare Provider Details

I. General information

NPI: 1073477964
Provider Name (Legal Business Name): LITTLE ACORNS BEHAVIORAL LEARNING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/15/2025
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5272 WILLOW GROVE DR
GRAND BLANC MI
48439-8682
US

IV. Provider business mailing address

5272 WILLOW GROVE DR
GRAND BLANC MI
48439-8682
US

V. Phone/Fax

Practice location:
  • Phone: 248-659-2303
  • Fax: 248-659-2303
Mailing address:
  • Phone: 248-659-2303
  • Fax: 248-659-2303

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: SCOTT BUCHOLZ
Title or Position: CEO/PRESIDENT
Credential:
Phone: 248-659-2303