Individual
GREGORY DAEVOND LITTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1221 TAYLOR ST NW, WASHINGTON, DC 20011-5617
(202) 464-9200
(202) 291-2160
Mailing address
1200 N CAPITOL ST NW APT C501, WASHINGTON, DC 20002-7537
(202) 907-6195
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/10/2023
Last updated
01/26/2024
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