A Leap Beyond Autism Services, Llc

LBN: A Leap Beyond Autism Services, Llc
A Leap Beyond Autism Services, Llc is an health care organization with primary practice located at 110 Newfield Dr , Tyrone GA 30290-2567. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as the primary health care specialty. A Leap Beyond Autism Services, Llc can be contacted via phone (678) 862-6226, or through Penn-Tabor, Tia Chalise via phone (404) 966-3933.

Contact Information

Primary practice address
110 Newfield Dr Tyrone GA 30290-2567
Phone: (678) 862-6226
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Penn-Tabor, Tia Chalise
Phone: (404) 966-3933

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X

Profile Details

NPI number 1417524307
LBN Legal business name A Leap Beyond Autism Services, Llc
DBA Doing business as
Authorized official Penn-Tabor, Tia Chalise
Entity Organization
Organization subpart 1 No
Enumeration date Jun 8th, 2021
Last updated Oct 6th, 2022 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417524307 NPPES
Georgia MEDICAID 8837997616

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