Provider Demographics
NPI:1336873207
Name:LIL KNOW-IT OWLS BEHAVIOR CONSULTANT
Entity Type:Organization
Organization Name:LIL KNOW-IT OWLS BEHAVIOR CONSULTANT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:DWANETI
Authorized Official - Middle Name:ARICQUA
Authorized Official - Last Name:BROOKS
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA/LBA
Authorized Official - Phone:347-974-6957
Mailing Address - Street 1:25 W 132ND ST APT 4L
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10037-3220
Mailing Address - Country:US
Mailing Address - Phone:347-974-6957
Mailing Address - Fax:
Practice Address - Street 1:25 W 132ND ST APT 4L
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10037-3220
Practice Address - Country:US
Practice Address - Phone:347-974-6957
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-14
Last Update Date:2022-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty