Provider Demographics
NPI:1356164925
Name:LITTLE STEPS PEDIATRIC THERAPIES
Entity type:Organization
Organization Name:LITTLE STEPS PEDIATRIC THERAPIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JAVIER
Authorized Official - Middle Name:
Authorized Official - Last Name:MURILLO
Authorized Official - Suffix:JR
Authorized Official - Credentials:MS, BCBA
Authorized Official - Phone:805-815-9048
Mailing Address - Street 1:12303 BLODGETT AVE
Mailing Address - Street 2:
Mailing Address - City:DOWNEY
Mailing Address - State:CA
Mailing Address - Zip Code:90242-2601
Mailing Address - Country:US
Mailing Address - Phone:805-815-9048
Mailing Address - Fax:
Practice Address - Street 1:12303 BLODGETT AVE
Practice Address - Street 2:
Practice Address - City:DOWNEY
Practice Address - State:CA
Practice Address - Zip Code:90242-2601
Practice Address - Country:US
Practice Address - Phone:805-815-9048
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-04
Last Update Date:2024-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty