Provider Demographics
NPI:1578207494
Name:GREAT LEAPS BEHAVIOR CENTER
Entity Type:Organization
Organization Name:GREAT LEAPS BEHAVIOR CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / BCBA
Authorized Official - Prefix:
Authorized Official - First Name:EMILIE
Authorized Official - Middle Name:R
Authorized Official - Last Name:HOFFART
Authorized Official - Suffix:
Authorized Official - Credentials:MA, BCBA, LBA
Authorized Official - Phone:832-720-8828
Mailing Address - Street 1:4104A BUCK ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77020-8653
Mailing Address - Country:US
Mailing Address - Phone:832-720-8828
Mailing Address - Fax:
Practice Address - Street 1:4104A BUCK ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77020-8653
Practice Address - Country:US
Practice Address - Phone:832-720-8828
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-26
Last Update Date:2022-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty