Organization Active NPI

L.E.a.P ABA Therapy, Supervision and Consultation PLLC

  • Behavior Analyst
  • East Lansing, MI
National Provider Identifier
1043060585
Registry record updated Mar 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
L.E.A.P ABA THERAPY, SUPERVISION AND CONSULTATION PLLC
Practice address
3978 Stirrup St
East Lansing, MI 48823-6252
Phone
(269) 589-9099
NPI assigned
Mar 26, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Lionel Clements, BCBANPI 1851810147
Title
Ower/Board Cert Behavior Analyst
Phone
(269) 589-9099

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

3978 Stirrup St
East Lansing, MI 48823-6252

Mailing address

3978 Stirrup St
East Lansing, MI 48823-6252
Phone (269) 589-9099

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1711411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711584000000",
    "number": "1043060585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3978 STIRRUP ST",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488236252",
            "telephone_number": "269-589-9099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3978 STIRRUP ST",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488236252",
            "telephone_number": "269-589-9099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "L.E.A.P ABA THERAPY, SUPERVISION AND CONSULTATION PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-26",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-28",
        "status": "A",
        "authorized_official_last_name": "CLEMENTS",
        "authorized_official_first_name": "LIONEL",
        "authorized_official_title_or_position": "OWER/BOARD CERT BEHAVIOR ANALYST",
        "authorized_official_telephone_number": "269-589-9099",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Lansing, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.