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General NPI Number Information
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NPI Number | 1053278408
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Entity Type | Organization
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Legal Business Name | LITTLE LEAVES BEHAVIOR THERAPIES
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Dates
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Enumeration Date | 01/07/2026
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Last Update Date | 01/07/2026
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Provider Practice Location Address
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Address Line | 20410 OBSERVATION DR STE 107
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City | GERMANTOWN
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State | MD
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Zip | 20876-6419
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Country | US
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Telephone | 202-992-7257
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Fax |
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Provider Business Mailing Address
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Address Line | 20410 OBSERVATION DR STE 107
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City | GERMANTOWN
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State | MD
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Zip | 20876-6419
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Country | US
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Telephone | 202-992-7257
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF CENTER DEVELOPMENT
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Name | JENNIFER LEWIS
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Credential |
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Telephone | 202-992-7257
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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