Provider Demographics
NPI:1538570718
Name:LITTLE TIGER LEARNING COMPANY LLC
Entity type:Organization
Organization Name:LITTLE TIGER LEARNING COMPANY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BOARD CERTIFIED BEHAVIOR ANALYST
Authorized Official - Prefix:MS
Authorized Official - First Name:ELAINE
Authorized Official - Middle Name:I
Authorized Official - Last Name:LEE
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:414-477-1143
Mailing Address - Street 1:PO BOX 778
Mailing Address - Street 2:
Mailing Address - City:MUSKEGO
Mailing Address - State:WI
Mailing Address - Zip Code:53150-0778
Mailing Address - Country:US
Mailing Address - Phone:414-477-1143
Mailing Address - Fax:414-751-1911
Practice Address - Street 1:S78W18425 LIONS PARK DR APT 1
Practice Address - Street 2:
Practice Address - City:MUSKEGO
Practice Address - State:WI
Practice Address - Zip Code:53150-8703
Practice Address - Country:US
Practice Address - Phone:414-477-1143
Practice Address - Fax:414-751-1911
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-09
Last Update Date:2014-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI67-140251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health