Provider Demographics
NPI:1942802038
Name:LITTLE BEHAVIOR CONSULTING ON THE COAST, LLC
Entity Type:Organization
Organization Name:LITTLE BEHAVIOR CONSULTING ON THE COAST, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER AND CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:AMANDA
Authorized Official - Middle Name:
Authorized Official - Last Name:LITTLE
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, BCBA-D, LBA
Authorized Official - Phone:785-760-4948
Mailing Address - Street 1:1701 S STATION ST UNIT 103
Mailing Address - Street 2:
Mailing Address - City:PORT ARANSAS
Mailing Address - State:TX
Mailing Address - Zip Code:78373-5549
Mailing Address - Country:US
Mailing Address - Phone:785-760-4948
Mailing Address - Fax:855-726-5478
Practice Address - Street 1:127 FISH HOOK LN
Practice Address - Street 2:
Practice Address - City:PORT ARANSAS
Practice Address - State:TX
Practice Address - Zip Code:78373-5277
Practice Address - Country:US
Practice Address - Phone:785-760-4948
Practice Address - Fax:855-726-5478
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-12
Last Update Date:2023-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty