Leap Forward Autism Services LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

LEAP FORWARD AUTISM SERVICES LLC

Practice address

6303 Saint Clair Dr NE
Atlanta, GA 30329-2677

Phone

(757) 593-5662

NPI assigned

Sep 8, 2023

Organization subpart

No

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

Authorized official

Name

Antwanette Dailey, BCBANPI 1013463041

Title

Owner

Phone

(757) 593-5662

Specialties & licenses 1

Addresses

Practitioners 1

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

• Antwanette Dailey, BCBA

  • Behavior Analyst
  • Decatur, GA
  • NPI 1013463041
  NPD Authorized official

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

{
    "created_epoch": "1694131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697587200000",
    "number": "1497532071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6303 SAINT CLAIR DR NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303292677",
            "telephone_number": "757-593-5662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6303 SAINT CLAIR DR NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303292677",
            "telephone_number": "757-593-5662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEAP FORWARD AUTISM SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-08",
        "last_updated": "2023-10-18",
        "certification_date": "2023-10-18",
        "status": "A",
        "authorized_official_last_name": "DAILEY",
        "authorized_official_first_name": "ANTWANETTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-593-5662",
        "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": []
}

• Sydney Brook Leahy I
• Deborah Leake, CPNP
• Cecilia Andrea Leal, LMSW
• Ticiana B Leal, M.D.
• Elizabeth A Leamy, LPC
• Leap of Faith Community Outreach LLC
• Leaps and Bounds Speech Therapy Services
• Learning Behavior and Love
• Learning on the Log
• Learningrx

• Behavior Analyst in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Behavior Analyst in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2023; 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.