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General NPI Number Information
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NPI Number | 1871342022
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Entity Type | Organization
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Legal Business Name | LEAPFROG ABA LV 1 LLC
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Dates
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Enumeration Date | 05/17/2024
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Last Update Date | 12/03/2025
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Provider Practice Location Address
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Address Line | 3037 E WARM SPRINGS RD STE 300
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City | LAS VEGAS
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State | NV
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Zip | 89120-3759
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Country | US
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Telephone | 702-587-3131
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Fax |
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Provider Business Mailing Address
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Address Line | 3087 E WARM SPRINGS RD STE 300
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City | LAS VEGAS
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State | NV
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Zip | 89120-3754
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | BUSINESS DIRECTOR
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Name | MELISSA DEMARRIAS
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Credential |
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Telephone | 702-587-3131
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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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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