NPI | 1043948086 |
---|---|
Doing Business As | LITTLESTAR ABA |
Entity Type | Organization |
Authorized Contact | CHRIS KIRK Vice President Of Insurance 317-975-7172 |
Organization Subpart ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist |
Enumeration Date | 2022-08-09 |
Last Update Date | 2023-09-01 |