=====================================================
General NPI Number Information
=====================================================
NPI Number | 1386522928
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | SYCAMORE POINT ACADEMY
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/22/2025
-----------------------------------------------------
Last Update Date | 08/22/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 625 8TH ST
-----------------------------------------------------
City | HUNTINGTON
-----------------------------------------------------
State | WV
-----------------------------------------------------
Zip | 25701-2119
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 859-489-3385
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1683 BEECH ST
-----------------------------------------------------
City | ASHLAND
-----------------------------------------------------
State | KY
-----------------------------------------------------
Zip | 41102-5523
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 859-489-3385
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | DIRECTOR
-----------------------------------------------------
Name | TERI LEFFLER
-----------------------------------------------------
Credential | BCBA
-----------------------------------------------------
Telephone | 859-489-3385
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 103K00000X
-----------------------------------------------------
Taxonomy Name | Behavior Analyst
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------