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NPI Code Detail

MEDICARE: LITTLE LEMONS THERAPY LLC

MEDICARE: LITTLE LEMONS THERAPY LLC
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 AnalystLBA0086NV

General Provider Information

NPI Number : 1265946925
Entity Type Code : Organization
Provider Name (Legal Business Name) : LITTLE LEMONS THERAPY LLC
Provider Business Mailing Address
First Line : 5765 S RAINBOW BLVD STE 101-102
Second Line :
City : LAS VEGAS
State : NV
Zip : 89118-2536
Country : US
Telephone Number : 702-412-8578
Fax Number : 725-205-2904
Provider Business Practice Location Address
First Line : 5765 S RAINBOW BLVD STE 101-102
Second Line :
City : LAS VEGAS
State : NV
Zip : 89118-2536
Country : US
Telephone Number : 702-412-8578
Fax Number : 725-205-2904
Authorized Official
Title or Position : COO
Name : MRS. SAMANTHA D LEMONS
Credential : BCBA, LBA
Telephone Number : 702-412-8578
Provider Enumeration Date : 11/16/2017
Last Update Date : 01/02/2024

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Directions to “LITTLE LEMONS THERAPY LLC ” Practice Location

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