Provider Demographics
NPI:1275008401
Name:LEAPS AND BOUNDS THERAPY SERVICES L.L.C.
Entity Type:Organization
Organization Name:LEAPS AND BOUNDS THERAPY SERVICES L.L.C.
Other - Org Name:LEAPS AND BOUNDS THERAPY ABA
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALISON
Authorized Official - Middle Name:J
Authorized Official - Last Name:BARNETT
Authorized Official - Suffix:
Authorized Official - Credentials:PT, DPT, PRESIDENT
Authorized Official - Phone:734-449-4649
Mailing Address - Street 1:8542 W GRAND RIVER AVE
Mailing Address - Street 2:
Mailing Address - City:BRIGHTON
Mailing Address - State:MI
Mailing Address - Zip Code:48116-2326
Mailing Address - Country:US
Mailing Address - Phone:810-775-3043
Mailing Address - Fax:
Practice Address - Street 1:138 W HIGHLAND RD STE 500-600
Practice Address - Street 2:
Practice Address - City:HOWELL
Practice Address - State:MI
Practice Address - Zip Code:48843-2170
Practice Address - Country:US
Practice Address - Phone:517-376-4831
Practice Address - Fax:517-376-4833
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LEAPS AND BOUNDS THERAPY SERVICES L.L.C.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-10-03
Last Update Date:2018-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty
No106S00000XBehavioral Health & Social Service ProvidersBehavior TechnicianGroup - Single Specialty
No251S00000XAgenciesCommunity/Behavioral HealthGroup - Single Specialty
No261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty
No261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical TherapyGroup - Single Specialty