Provider Demographics
NPI:1801132741
Name:AKIN-LITTLE, KAREN ANGELEQUE
Entity type:Individual
Prefix:DR
First Name:KAREN
Middle Name:ANGELEQUE
Last Name:AKIN-LITTLE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:791 COUNTY ROUTE 41
Mailing Address - Street 2:CHASM FALLS
Mailing Address - City:MALONE
Mailing Address - State:NY
Mailing Address - Zip Code:12953-3316
Mailing Address - Country:US
Mailing Address - Phone:518-481-4633
Mailing Address - Fax:
Practice Address - Street 1:791 COUNTY ROUTE 41
Practice Address - Street 2:CHASM FALLS
Practice Address - City:MALONE
Practice Address - State:NY
Practice Address - Zip Code:12953-3316
Practice Address - Country:US
Practice Address - Phone:518-481-4633
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-12-21
Last Update Date:2012-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS1-07-3730103K00000X
NY015495103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst