Provider Demographics
NPI:1730566100
Name:LITTLE STEPS BIG LEAPS, LLC
Entity type:Organization
Organization Name:LITTLE STEPS BIG LEAPS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:INSURANCE SUPERVISIOR
Authorized Official - Prefix:
Authorized Official - First Name:MAURA
Authorized Official - Middle Name:
Authorized Official - Last Name:JANSSEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:765-628-7400
Mailing Address - Street 1:4921 VISTAWOOD WAY
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27713-8066
Mailing Address - Country:US
Mailing Address - Phone:919-602-2292
Mailing Address - Fax:
Practice Address - Street 1:4921 VISTAWOOD WAY
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27713-8066
Practice Address - Country:US
Practice Address - Phone:919-602-2292
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-05
Last Update Date:2015-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty