Individual provider Active NPI

Mary Margaret Little

  • Behavior Analyst
  • Southaven, MS
National Provider Identifier
1558765271
Registry record updated Oct 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
136079 Issued in MS
Practice address
7160 Tchulahoma Rd
BLDG. B Ste.4
Southaven, MS 38671-9266
Phone
(662) 349-2733
Fax
(662) 536-1849
NPI assigned
Oct 9, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 136079 MS Primary

Addresses

Primary practice location

7160 Tchulahoma Rd
BLDG. B Ste.4
Southaven, MS 38671-9266

Mailing address

7160 Tchulahoma Rd
BLDG. B Ste.4
Southaven, MS 38671-9266
Phone (662) 349-2733

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
136079MSMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy Zone, LLC PastSince Apr 30, 2013 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1412812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412812800000",
    "number": "1558765271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7160 TCHULAHOMA RD",
            "address_2": "BLDG. B STE.4",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386719266",
            "telephone_number": "662-349-2733",
            "fax_number": "662-536-1849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7160 TCHULAHOMA RD",
            "address_2": "BLDG. B STE.4",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386719266",
            "telephone_number": "662-349-2733",
            "fax_number": "662-536-1849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LITTLE",
        "first_name": "MARY MARGARET",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-09",
        "last_updated": "2014-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MS",
            "license": "136079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southaven, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.