Healthcare Provider Details

I. General information

NPI: 1912865320
Provider Name (Legal Business Name): LITTLE SPROUTS THERAPY LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/13/2026
Last Update Date: 04/02/2026
Certification Date: 04/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3979 ORANGEWOOD DR
BEACHWOOD OH
44122-7407
US

IV. Provider business mailing address

3979 ORANGEWOOD DR
BEACHWOOD OH
44122-7407
US

V. Phone/Fax

Practice location:
  • Phone: 216-245-2737
  • Fax:
Mailing address:
  • Phone: 216-245-2737
  • Fax: 216-635-9635

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number State

VIII. Authorized Official

Name: ANDREA EVE LAZERICK
Title or Position: CLINICAL DIRECTOR, OWNER
Credential: M.ED, BCBA, COBA
Phone: 216-245-2737