| NPI | 1740010297 |
|---|---|
| Former Legal Business Name | LEAP ABA LLC |
| Entity Type | Organization |
| Authorized Contact | AMANDA CORETTO Owner 860-986-1496 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YP2500X Counselor, Professional | |
| 103K00000X Behavior Analyst | |
| Enumeration Date | 2024-08-07 |
| Last Update Date | 2024-08-07 |