Organization
LITTLE BIG STEPS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TARA EDMONSON (MEMBER)
(201) 290-0635
Entity
Organization
Contact information
Practice address
99 GLENVALE TER, BRIDGEPORT, CT 06610-1003
(201) 290-0635
Mailing address
PO BOX 55103, BRIDGEPORT, CT 06610-5103
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
252Y00000X
Early Intervention Provider Agency
—
—
Other
Enumeration date
08/10/2010
Last updated
08/10/2010
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