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General NPI Number Information
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NPI Number | 1497630719
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Entity Type | Organization
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Legal Business Name | GREAT LEAPS BEHAVIOR CENTER PLLC
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Dates
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Enumeration Date | 08/06/2025
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Last Update Date | 12/01/2025
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Provider Practice Location Address
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Address Line | 2215 PENICK ROAD
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City | WALLER
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State | TX
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Zip | 77484
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Country | US
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Telephone | 832-598-0907
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Fax | 832-598-0908
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Provider Business Mailing Address
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Address Line | 2215 PENICK ROAD
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City | WALLER
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State | TX
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Zip | 77484
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Country | US
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Telephone | 832-598-0907
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Fax | 832-598-0908
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Authorized Official
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Title or Position | OWNER
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Name | EMILIE HOFFART
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Credential | BCBA
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Telephone | 832-720-8828
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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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