Leaps-Asd LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

0-02-0431 Issued in FL

Legal business name

LEAPS-ASD LLC

Practice address

1917 Sixty Oaks LN
Vero Beach, FL 32966-1078

Phone

(863) 241-4843

NPI assigned

Jun 30, 2015

Organization subpart

No

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

Authorized official

Name

Wendy Borden

Title

President

Phone

(863) 241-4843

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1435622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435622400000",
    "number": "1376926188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1917 SIXTY OAKS LN",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329661078",
            "telephone_number": "863-241-4843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1917 SIXTY OAKS LN",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329661078",
            "telephone_number": "863-241-4843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEAPS-ASD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-30",
        "last_updated": "2015-06-30",
        "status": "A",
        "authorized_official_last_name": "BORDEN",
        "authorized_official_first_name": "WENDY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "863-241-4843"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "0-02-0431",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI #",
            "identifier": "1700216231",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Vero Beach, FL
• Providers in Vero Beach, 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 Jun 30, 2015; 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.