| Spring Leaves Academy, Llc | |
|
13518 Gorgona Isle Dr Windermere FL 34786-6762 | |
| (321) 616-4354 | |
| Not Available |
| Full Name | Spring Leaves Academy, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 13518 Gorgona Isle Dr, Windermere, Florida |
| Authorized Official Name and Position | Nicholas L Weatherly (OWNER) |
| Authorized Official Contact | 3216164354 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Spring Leaves Academy, Llc 13518 Gorgona Isle Dr Windermere FL 34786-6762 Ph: () - | Spring Leaves Academy, Llc 13518 Gorgona Isle Dr Windermere FL 34786-6762 Ph: (321) 616-4354 |
| NPI Number | 1881358448 |
|---|---|
| Provider Enumeration Date | 10/28/2021 |
| Last Update Date | 10/28/2021 |
| Certification Date | 10/28/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881358448 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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