Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Intellectual & Developmental Disabilities |
103TM1800X | 62 | Psychologist, Clinical | |
Cognitive & Behavioral |
103TB0200X | 62 | Psychologist, Clinical |
| NPI # | 1316551906 |
| LBN Legal business name | TINY TOTS |
| Authorized official | JOAN WILLIAM - (EXECUTIVE DIRECTOR) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 09/01/2020 |
| Last updated | 09/03/2025 - About 9 months ago |
| Identifiers | n/a |
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