Healthcare Provider Details

I. General information

NPI: 1528365533
Provider Name (Legal Business Name): LITTLE BEHAVIOR CONSULTING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/28/2011
Last Update Date: 06/15/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4309 VISTA VERDE DR
AUSTIN TX
78732-2493
US

IV. Provider business mailing address

4309 VISTA VERDE DR
AUSTIN TX
78732-2493
US

V. Phone/Fax

Practice location:
  • Phone: 785-760-4948
  • Fax:
Mailing address:
  • Phone: 785-760-4948
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: DR. AMANDA L LITTLE
Title or Position: BOARD CERTIFIED BEHAVIOR ANALYST
Credential: PH.D., BCBA-D
Phone: 785-760-4948