Healthcare Provider Details

I. General information

NPI: 1811810781
Provider Name (Legal Business Name): LITTLE MOMENTS BEHAVIORAL HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/30/2026
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4400 SALEM DALLAS HWY NW
SALEM OR
97304-3338
US

IV. Provider business mailing address

4400 SALEM DALLAS HWY NW
SALEM OR
97304-3338
US

V. Phone/Fax

Practice location:
  • Phone: 971-983-8090
  • 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

VIII. Authorized Official

Name: CHRISTINA WILLIAMS
Title or Position: FOUNDER
Credential: BCBA, LBA
Phone: 707-297-0345