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General NPI Number Information
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NPI Number | 1245592534
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Entity Type | Organization
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Legal Business Name | LEAPS INC
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Dates
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Enumeration Date | 06/12/2012
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Last Update Date | 06/12/2012
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Provider Practice Location Address
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Address Line | 2561 IVORY LN
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City | LODI
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State | CA
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Zip | 95242-4811
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Country | US
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Telephone | 209-406-7491
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Fax |
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Provider Business Mailing Address
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Address Line | 2561 IVORY LN
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City | LODI
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State | CA
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Zip | 95242-4811
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Country | US
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Telephone | 209-406-7491
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Fax |
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Authorized Official
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Title or Position | CFO, BEHAVIOR ANALYST
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Name | MRS. TINA M HOPSON
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Credential | BCBA
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Telephone | 209-406-7491
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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 | 1-02-1006
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 1-06-2944
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License Number State | CA
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