Healthcare Provider Details

I. General information

NPI: 1598696221
Provider Name (Legal Business Name): NEW LEAF DEVELOPMENTAL AND BEHAVIORAL HEALTH, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/29/2026
Last Update Date: 05/29/2026
Certification Date: 05/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

147 ALLEN BROOK LN
WILLISTON VT
05495-9207
US

IV. Provider business mailing address

147 ALLEN BROOK LN
WILLISTON VT
05495-9207
US

V. Phone/Fax

Practice location:
  • Phone: 816-872-4701
  • Fax:
Mailing address:
  • Phone: 816-872-4701
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: CECILIA O'FLAHERTY
Title or Position: OWNER & CLINICAL DIRECTOR
Credential: BCBA, SPED LICENSE
Phone: 816-872-4701