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NPI Code Detail

MEDICARE: LITTLE LEAVES BEHAVIOR THERAPIES

MEDICARE: LITTLE LEAVES BEHAVIOR THERAPIES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior Analyst

General Provider Information

NPI Number : 1093672461
Entity Type Code : Organization
Provider Name (Legal Business Name) : LITTLE LEAVES BEHAVIOR THERAPIES
Provider Business Mailing Address
First Line : 1840 YORK RD STE K-M
Second Line :
City : LUTHERVILLE
State : MD
Zip : 21093-5121
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1840 YORK RD STE K-M
Second Line :
City : LUTHERVILLE
State : MD
Zip : 21093-5121
Country : US
Telephone Number : 202-992-7257
Fax Number :
Authorized Official
Title or Position : DIRECTOR OF CENTER DEVELOPMENT
Name : JENNIFER LEWIS
Credential :
Telephone Number : 202-992-7257
Provider Enumeration Date : 01/07/2026
Last Update Date : 01/07/2026

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Directions to “LITTLE LEAVES BEHAVIOR THERAPIES ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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