| Leaps Inc | |
|
2561 Ivory Ln Lodi CA 95242-4811 | |
| (209) 406-7491 | |
| Not Available |
| Full Name | Leaps Inc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 2561 Ivory Ln, Lodi, California |
| Authorized Official Name and Position | Tina M Hopson (CFO, BEHAVIOR ANALYST) |
| Authorized Official Contact | 2094067491 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Leaps Inc 2561 Ivory Ln Lodi CA 95242-4811 Ph: (209) 406-7491 | Leaps Inc 2561 Ivory Ln Lodi CA 95242-4811 Ph: (209) 406-7491 |
| NPI Number | 1245592534 |
|---|---|
| Provider Enumeration Date | 06/12/2012 |
| Last Update Date | 06/12/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245592534 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | 1-02-1006 (California) | Secondary |
| 103K00000X | Behavior Analyst | 1-06-2944 (California) | Primary |
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