Individual
NYESHA MARIE LITTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
317 GEORGE ST STE 320, NEW BRUNSWICK, NJ 08901-2091
(862) 243-2147
(973) 860-2282
Mailing address
317 GEORGE ST STE 320, NEW BRUNSWICK, NJ 08901-2091
(862) 243-2147
(973) 860-2282
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1255815486
—
NJ
05
—
1689169427
—
NJ
Enumeration date
06/25/2018
Last updated
01/31/2025
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