Organization
LITTLE LEAF ABA IN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK ELIAS (MANAGING DIRECTOR)
(718) 736-5689
Entity
Organization
Contact information
Practice address
5625 N GERMAN CHURCH RD STE 3117, INDIANAPOLIS, IN 46235-8513
(718) 736-5689
Mailing address
5625 N GERMAN CHURCH RD STE 3117, INDIANAPOLIS, IN 46235-8513
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/17/2022
Last updated
03/17/2022
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