Healthcare Provider Details

I. General information

NPI: 1720694714
Provider Name (Legal Business Name): MEGHAN LITTLE BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/16/2020
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

703 STATE ROUTE 28
MILFORD OH
45150-5021
US

IV. Provider business mailing address

703 STATE ROUTE 28
MILFORD OH
45150-5021
US

V. Phone/Fax

Practice location:
  • Phone: 513-587-8899
  • Fax:
Mailing address:
  • Phone: 513-587-8899
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-25-79224
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: