Healthcare Provider Details

I. General information

NPI: 1659167641
Provider Name (Legal Business Name): LITTLESTEPS STAR LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/16/2025
Last Update Date: 04/16/2025
Certification Date: 04/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1630 W PROSPER TRL STE 120,130
PROSPER TX
75078-3743
US

IV. Provider business mailing address

650 EDGEWOOD LN
PROSPER TX
75078-5706
US

V. Phone/Fax

Practice location:
  • Phone: 682-401-6725
  • 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
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: SINDHU DESHINENI
Title or Position: OWNER
Credential:
Phone: 682-401-6725