Organization
LITTLE ROOTS BEHAVIORAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALVIN JOSE SEQUERA AZUAJE (OWNER)
(239) 200-7826
Entity
Organization
Contact information
Practice address
9706 HEATHERSTONE RIVER CT UNIT 2, ESTERO, FL 33928-3077
(239) 200-7826
Mailing address
9706 HEATHERSTONE RIVER CT UNIT 2, ESTERO, FL 33928-3077
(239) 200-7826
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
09/24/2025
Last updated
09/24/2025
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