Provider Demographics
NPI:1003115189
Name:LITTLE, F. ANTOINETTE (BA)
Entity Type:Individual
Prefix:MS
First Name:F.
Middle Name:ANTOINETTE
Last Name:LITTLE
Suffix:
Gender:F
Credentials:BA
Other - Prefix:MS
Other - First Name:NAKI
Other - Middle Name:AYE
Other - Last Name:ALAIYO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:BA
Mailing Address - Street 1:888 VERMONT ST
Mailing Address - Street 2:301
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94610-2157
Mailing Address - Country:US
Mailing Address - Phone:443-525-6649
Mailing Address - Fax:
Practice Address - Street 1:1801 VICENTE ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94116-2923
Practice Address - Country:US
Practice Address - Phone:415-681-3211
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-03-15
Last Update Date:2011-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor