New Leaf Behavioral Services Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

P12000041389 Issued in FL

Legal business name

NEW LEAF BEHAVIORAL SERVICES INC.

Practice address

5137 River Edge LN
Leesburg, FL 34748-9191

Phone

(478) 954-4278

Fax

(321) 396-7662

NPI assigned

May 7, 2012

Organization subpart

No

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

Authorized official

Name

Jordan L Holt, M.S., BCBA

Title

President

Phone

(478) 954-4278

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1336348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336348800000",
    "number": "1326307679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5137 RIVER EDGE LN",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347489191",
            "telephone_number": "478-954-4278",
            "fax_number": "321-396-7662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5137 RIVER EDGE LN",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347489191",
            "telephone_number": "478-954-4278",
            "fax_number": "321-396-7662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW LEAF BEHAVIORAL SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-07",
        "last_updated": "2012-05-07",
        "status": "A",
        "authorized_official_last_name": "HOLT",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "478-954-4278",
        "authorized_official_credential": "M.S., BCBA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "P12000041389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Celia K Nelson, MD, FACS
• Mackenzie Rae Ness
• Felicia Nester, RBT
• New Beginnings Health and Wellness Center, LLC
• New Beginnings HWC Inc.
• Alan David Newman, D.C.
• Nicholas a Maruniak MD PA
• Christine Nichols, COTA
• Judith Doyola Nicolas, RPT
• Nidsa I Martir Cruz MD PA

• Community/Behavioral Health Agency in Leesburg, FL
• Providers in Leesburg, FL by specialty
• Community/Behavioral Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2012; 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.