Healthcare Provider Details

I. General information

NPI: 1386539146
Provider Name (Legal Business Name): LITTLE HAVEN BEHAVIORAL HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/11/2025
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

451 S 15TH ST STE B1
NEWARK NJ
07103
US

IV. Provider business mailing address

51 FOREST RD STE 316-240
MONROE NY
10950-2948
US

V. Phone/Fax

Practice location:
  • Phone: 800-269-0886
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: DAVID SCHWARTZ
Title or Position: MANAGER
Credential:
Phone: 800-269-0886