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General NPI Number Information
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NPI Number | 1629726799
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Entity Type | Organization
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Legal Business Name | LEAPS AND BOUNDS ABA LLC
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Dates
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Enumeration Date | 03/16/2022
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Last Update Date | 03/16/2022
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Provider Practice Location Address
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Address Line | 1260 CRAIGLEIGH DR
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City | NOLENSVILLE
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State | TN
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Zip | 37135-2956
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Country | US
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Telephone | 272-493-7487
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Fax |
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Provider Business Mailing Address
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Address Line | 1260 CRAIGLEIGH DR
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City | NOLENSVILLE
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State | TN
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Zip | 37135-2956
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Country | US
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Telephone | 727-249-3748
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Fax |
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Authorized Official
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Title or Position | BCBA/ OWNER
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Name | MRS. KYLEE ELIZABETH FORDE
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Credential | M.A., BCBA, LBA
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Telephone | 727-249-3748
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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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 |
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License Number State |
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