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
1	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1720945348
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LITTLE LEAVES BEHAVIOR THERAPIES

Provider Business Mailing Address
First Line	:	10750 COLUMBIA PIKE STE 101
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20901-4402
Country	:	US
Telephone Number	:	202-992-7257
Fax Number	:

Provider Business Practice Location Address
First Line	:	10750 COLUMBIA PIKE STE 101
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20901-4402
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	:	01/06/2026
Last Update Date	:	01/07/2026

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1730200122 — MS. MORGINA JULIETTE RAO PA-C
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1457591935 — LEORA ALANE BRADEN IBRAHEEM
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1649649500 — FOCUSED PHYSICAL THERAPY
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