Organization Active NPI

Little Roots Behavioral Services

  • Early Intervention Provider Agency
  • Estero, FL
National Provider Identifier
1679446041
Registry record updated Sep 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
LITTLE ROOTS BEHAVIORAL SERVICES
Practice address
9706 Heatherstone River CT Unit 2
Estero, FL 33928-3077
Phone
(239) 200-7826
NPI assigned
Sep 24, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2025

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

Authorized official

Name
Alvin Jose Sequera Azuaje
Title
Owner
Phone
(239) 200-7826

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X Primary

Addresses

Primary practice location

9706 Heatherstone River CT Unit 2
Estero, FL 33928-3077

Mailing address

9706 Heatherstone River CT Unit 2
Estero, FL 33928-3077
Phone (239) 200-7826

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1758672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758672000000",
    "number": "1679446041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9706 HEATHERSTONE RIVER CT UNIT 2",
            "city": "ESTERO",
            "state": "FL",
            "postal_code": "339283077",
            "telephone_number": "239-200-7826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9706 HEATHERSTONE RIVER CT UNIT 2",
            "city": "ESTERO",
            "state": "FL",
            "postal_code": "339283077",
            "telephone_number": "239-200-7826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LITTLE ROOTS BEHAVIORAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-24",
        "last_updated": "2025-09-24",
        "certification_date": "2025-09-23",
        "status": "A",
        "authorized_official_last_name": "SEQUERA AZUAJE",
        "authorized_official_first_name": "ALVIN",
        "authorized_official_middle_name": "JOSE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "239-200-7826"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Estero, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2025; 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.