Provider Demographics
NPI:1083380216
Name:LITTLE RIPPLES ABA THERAPY LLC
Entity Type:Organization
Organization Name:LITTLE RIPPLES ABA THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:DAWN
Authorized Official - Last Name:ROTHMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MS, BCBA, LBA
Authorized Official - Phone:254-349-7947
Mailing Address - Street 1:1276 SPRINGWELL PL
Mailing Address - Street 2:
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23608-7713
Mailing Address - Country:US
Mailing Address - Phone:254-349-7947
Mailing Address - Fax:254-227-5509
Practice Address - Street 1:1276 SPRINGWELL PL
Practice Address - Street 2:
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23608-7713
Practice Address - Country:US
Practice Address - Phone:254-349-7947
Practice Address - Fax:254-227-5509
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-18
Last Update Date:2023-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty