MEDICARE: THE LITTLE LIGHT PROJECT

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
1	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1154284347
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE LITTLE LIGHT PROJECT

Provider Business Mailing Address
First Line	:	801 NORTHPOINT PKWY STE 11
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33407-1991
Country	:	US
Telephone Number	:	561-856-3667
Fax Number	:

Provider Business Practice Location Address
First Line	:	801 NORTHPOINT PKWY STE 11
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33407-1991
Country	:	US
Telephone Number	:	561-856-3667
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	SERGIO LUIS CAMACHO
Credential	:
Telephone Number	:	561-856-3685

Provider Enumeration Date	:	12/04/2025
Last Update Date	:	12/04/2025

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Directions to “THE LITTLE LIGHT PROJECT ” Practice Location

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