Provider Demographics
NPI:1952037855
Name:LEAP YEARS COACHING LLC
Entity Type:Organization
Organization Name:LEAP YEARS COACHING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER, CEO
Authorized Official - Prefix:
Authorized Official - First Name:CATHERINE
Authorized Official - Middle Name:
Authorized Official - Last Name:SERENO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:609-314-2693
Mailing Address - Street 1:393 ROBERTS DR
Mailing Address - Street 2:
Mailing Address - City:SOMERDALE
Mailing Address - State:NJ
Mailing Address - Zip Code:08083-2545
Mailing Address - Country:US
Mailing Address - Phone:609-314-2693
Mailing Address - Fax:
Practice Address - Street 1:393 ROBERTS DR
Practice Address - Street 2:
Practice Address - City:SOMERDALE
Practice Address - State:NJ
Practice Address - Zip Code:08083-2545
Practice Address - Country:US
Practice Address - Phone:609-314-2693
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-25
Last Update Date:2022-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services