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General NPI Number Information
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NPI Number | 1184585978
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Entity Type | Organization
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Legal Business Name | LEAPS AND BOUNDS THERAPY CENTER
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Dates
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Enumeration Date | 11/20/2025
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Last Update Date | 11/20/2025
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Provider Practice Location Address
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Address Line | 28 PARKWAY DR
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City | SOMERSET
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State | KY
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Zip | 42503-3450
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Country | US
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Telephone | 606-219-5781
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Fax |
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Provider Business Mailing Address
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Address Line | 306 COLLEGE ST
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City | SOMERSET
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State | KY
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Zip | 42501-1312
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Country | US
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Telephone | 606-219-5781
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Fax |
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Authorized Official
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Title or Position | LICENSED BEHAVIOR ANALYST
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Name | REBECCA BIANCHI GULOCK
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Credential | M.ED., BCBA, LBA
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Telephone | 606-219-5781
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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