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General NPI Number Information
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NPI Number | 1740135342
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Entity Type | Organization
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Legal Business Name | LITTLE WILLOW HEALTH LLC
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Dates
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Enumeration Date | 02/28/2026
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Last Update Date | 02/28/2026
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Provider Practice Location Address
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Address Line | 15036 SW 104TH ST APT 2103
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City | MIAMI
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State | FL
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Zip | 33196-3297
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Country | US
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Telephone | 305-340-2951
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Fax | 305-330-5532
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Provider Business Mailing Address
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Address Line | 14629 SW 104TH ST # 415
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City | MIAMI
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State | FL
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Zip | 33186-2905
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Country | US
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Telephone | 305-340-2951
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Fax | 305-330-5532
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Authorized Official
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Title or Position | OWNER
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Name | HADISHA DANIEL
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Credential | BCBA
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Telephone | 305-340-2951
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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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