Leap Forward Autism Services LLC
Behavior Analyst in Atlanta, GA. Organization (NPI-2).
NPI number1497532071
StatusActive
Last updated in NPPESOct 18, 2023
Details
- NPI
- 1497532071
- Entity type
- Organization (NPI-2)
- Legal business name
- Leap Forward Autism Services LLC
- Organization subpart
- No
- Enumeration date
- Sep 8, 2023
- Certification date
- Oct 18, 2023
- Last updated
- Oct 18, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | – | – | Yes |
Practice location
6303 Saint Clair Dr NeAtlanta, GA 30329-2677
Phone 757-593-5662
Mailing address
6303 Saint Clair Dr NeAtlanta, GA 30329-2677
Phone 757-593-5662
Authorized official
Antwanette Dailey
Owner
7575935662
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