Provider Demographics
NPI:1407355076
Name:LITTLE EINSTEIN AUTISM CHILDREN SERVICES INC
Entity Type:Organization
Organization Name:LITTLE EINSTEIN AUTISM CHILDREN SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARELYS
Authorized Official - Middle Name:
Authorized Official - Last Name:FLEITES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-597-7007
Mailing Address - Street 1:18503 PINES BLVD STE 308G
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33029-1406
Mailing Address - Country:US
Mailing Address - Phone:786-597-7007
Mailing Address - Fax:
Practice Address - Street 1:18503 PINES BLVD STE 308G
Practice Address - Street 2:
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33029-1406
Practice Address - Country:US
Practice Address - Phone:786-597-7007
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-08
Last Update Date:2018-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty