Provider Demographics
NPI:1184863979
Name:PUMPKIN LITTLES, LLC
Entity type:Organization
Organization Name:PUMPKIN LITTLES, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:MS
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:BECK
Authorized Official - Suffix:
Authorized Official - Credentials:MAS SP ED & E ED
Authorized Official - Phone:972-569-7141
Mailing Address - Street 1:5452 GLEN LAKES DR
Mailing Address - Street 2:SUITE 201
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75231-4338
Mailing Address - Country:US
Mailing Address - Phone:972-569-7141
Mailing Address - Fax:
Practice Address - Street 1:5452 GLEN LAKES DR
Practice Address - Street 2:SUITE 201
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231-4338
Practice Address - Country:US
Practice Address - Phone:972-569-7141
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-18
Last Update Date:2009-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty