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NPI Code Detail

MEDICARE: LITTLE CHAMPS ABA TX LLC

MEDICARE: LITTLE CHAMPS ABA TX 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
1106S00000XBehavior Technician
2103K00000XBehavior Analyst

General Provider Information

NPI Number : 1336005230
Entity Type Code : Organization
Provider Name (Legal Business Name) : LITTLE CHAMPS ABA TX LLC
Provider Business Mailing Address
First Line : 4500 MERCANTILE PLAZA DR STE 300
Second Line :
City : FORT WORTH
State : TX
Zip : 76137-4206
Country : US
Telephone Number : 385-494-3500
Fax Number :
Provider Business Practice Location Address
First Line : 4500 MERCANTILE PLAZA DR STE 300
Second Line :
City : FORT WORTH
State : TX
Zip : 76137-4206
Country : US
Telephone Number : 385-494-3500
Fax Number :
Authorized Official
Title or Position : CEO
Name : MARK SCHIK
Credential :
Telephone Number : 385-494-3500
Provider Enumeration Date : 01/05/2026
Last Update Date : 01/05/2026

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Directions to “LITTLE CHAMPS ABA TX LLC ” Practice Location

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