Provider Demographics
NPI:1306661079
Name:LEMON LITTLE LLC
Entity type:Organization
Organization Name:LEMON LITTLE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ABA THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:LAUREN
Authorized Official - Middle Name:
Authorized Official - Last Name:MULLINS
Authorized Official - Suffix:
Authorized Official - Credentials:MSED
Authorized Official - Phone:917-443-1041
Mailing Address - Street 1:23 BROOKSIDE LOOP
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10309-4506
Mailing Address - Country:US
Mailing Address - Phone:917-443-1041
Mailing Address - Fax:
Practice Address - Street 1:23 BROOKSIDE LOOP
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10309-4506
Practice Address - Country:US
Practice Address - Phone:917-443-1041
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-18
Last Update Date:2024-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency