Healthcare Provider Details

I. General information

NPI: 1679801070
Provider Name (Legal Business Name): LITTLE RED CAR ABA SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/23/2009
Last Update Date: 06/30/2023
Certification Date: 06/30/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6199 HORIZON HEIGHTS DR
KALAMAZOO MI
49009-9105
US

IV. Provider business mailing address

6199 HORIZON HEIGHTS DR
KALAMAZOO MI
49009-9105
US

V. Phone/Fax

Practice location:
  • Phone: 269-220-6032
  • Fax: 443-341-4177
Mailing address:
  • Phone: 269-220-6032
  • Fax: 443-341-4177

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: KIRSTY MACIVER
Title or Position: OWNER
Credential: BCBA, LBA
Phone: 269-220-6032