Healthcare Provider Details

I. General information

NPI: 1184585978
Provider Name (Legal Business Name): LEAPS AND BOUNDS THERAPY CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/20/2025
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

28 PARKWAY DR
SOMERSET KY
42503-3450
US

IV. Provider business mailing address

306 COLLEGE ST
SOMERSET KY
42501-1312
US

V. Phone/Fax

Practice location:
  • Phone: 606-219-5781
  • Fax:
Mailing address:
  • Phone: 606-219-5781
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number StateNULL
# 3
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number StateNULL

VIII. Authorized Official

Name: REBECCA BIANCHI GULOCK
Title or Position: LICENSED BEHAVIOR ANALYST
Credential: M.ED., BCBA, LBA
Phone: 606-219-5781