Provider Demographics
NPI:1326705419
Name:LITTLEBROOK, CHRISTIAN (BCBA)
Entity Type:Individual
Prefix:
First Name:CHRISTIAN
Middle Name:
Last Name:LITTLEBROOK
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14402 CAMEO AVE
Mailing Address - Street 2:
Mailing Address - City:NORWALK
Mailing Address - State:CA
Mailing Address - Zip Code:90650-5003
Mailing Address - Country:US
Mailing Address - Phone:310-944-5073
Mailing Address - Fax:
Practice Address - Street 1:10805 HOLDER ST STE 225
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:CA
Practice Address - Zip Code:90630-5146
Practice Address - Country:US
Practice Address - Phone:310-944-5073
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-23
Last Update Date:2021-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst