| Leap Aba LLC | |
|
4729 Peachtree Industrial Blvd Ste 300 Berkeley Lake GA 30092-3023 | |
| (470) 719-8976 | |
| Not Available |
| Full Name | Leap Aba LLC |
|---|---|
| Speciality | Behavior Analyst |
| Location | 4729 Peachtree Industrial Blvd Ste 300, Berkeley Lake, Georgia |
| Authorized Official Name and Position | Adner Colon (CLINICAL DIRECTOR) |
| Authorized Official Contact | 9738835850 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Leap Aba LLC 4729 Peachtree Industrial Blvd Ste 300 Berkeley Lake GA 30092-3023 Ph: (470) 719-8976 | Leap Aba LLC 4729 Peachtree Industrial Blvd Ste 300 Berkeley Lake GA 30092-3023 Ph: (470) 719-8976 |
| NPI Number | 1659182822 |
|---|---|
| Provider Enumeration Date | 01/16/2025 |
| Last Update Date | 01/16/2025 |
| Certification Date | 01/16/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659182822 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | () | Primary |
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