Organization Active NPI

Leap Behavior Analysis, LLC

  • Behavior Analyst
  • Cookeville, TN
National Provider Identifier
1194333153
Registry record updated Jul 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
LEAP BEHAVIOR ANALYSIS, LLC
Practice address
1680 S Jefferson Ave Ste G
Cookeville, TN 38506-2527
Phone
(931) 288-2422
NPI assigned
Jul 16, 2020
Last updated
Jul 16, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2020

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

Authorized official

Name
Allison Olmstead
Title
Bcba
Phone
(931) 288-2422

Specialties & licenses 1

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

Addresses

Primary practice location

1680 S Jefferson Ave Ste G
Cookeville, TN 38506-2527

Mailing address

1680D S Jefferson Ave Ste G
Cookeville, TN 38506-5578
Phone (931) 288-2422

National Provider Directory

National Provider Directory

Locations

1680 S Jefferson Ave
Ste G
Cookeville, TN 38506

1680 S Jefferson Ave
Ste G
Cookeville, TN 38506
Phone (931) 261-0889

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1594857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594857600000",
    "number": "1194333153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1680D S JEFFERSON AVE STE G",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385065578",
            "telephone_number": "931-288-2422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1680 S JEFFERSON AVE STE G",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385062527",
            "telephone_number": "931-288-2422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEAP BEHAVIOR ANALYSIS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-16",
        "last_updated": "2020-07-16",
        "certification_date": "2020-07-16",
        "status": "A",
        "authorized_official_last_name": "OLMSTEAD",
        "authorized_official_first_name": "ALLISON",
        "authorized_official_title_or_position": "BCBA",
        "authorized_official_telephone_number": "931-288-2422"
    },
    "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 Cookeville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2020; 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.