Healthcare Provider Details

I. General information

NPI: 1376494401
Provider Name (Legal Business Name): LITTLE LIGHT YOGA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/05/2026
Last Update Date: 04/21/2026
Certification Date: 04/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17H GARDEN TER
NORTH ARLINGTON NJ
07031-8207
US

IV. Provider business mailing address

17H GARDEN TER
NORTH ARLINGTON NJ
07031-8207
US

V. Phone/Fax

Practice location:
  • Phone: 201-844-1297
  • Fax:
Mailing address:
  • Phone: 201-844-1297
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name: ANHEL PEREZ
Title or Position: OWNER
Credential:
Phone: 201-844-1297