New Leaf Behavioral Support LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

NEW LEAF BEHAVIORAL SUPPORT LLC

Practice address

3291 Andy LN
Crestview, FL 32539-8625

Phone

(850) 603-0525

NPI assigned

Dec 2, 2025

Organization subpart

No

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

Authorized official

Name

Dominique Giese, BCBANPI 1497387807

Title

Owner

Phone

(850) 603-0525

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.

• Dominique Giese, BCBA

  • Behavior Analyst
  • Crestview, FL
  • NPI 1497387807
  NPD Authorized official

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

{
    "created_epoch": "1764633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764633600000",
    "number": "1851253322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3291 ANDY LN",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325398625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3291 ANDY LN",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325398625",
            "telephone_number": "850-603-0525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW LEAF BEHAVIORAL SUPPORT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-02",
        "last_updated": "2025-12-02",
        "certification_date": "2025-12-02",
        "status": "A",
        "authorized_official_last_name": "GIESE",
        "authorized_official_first_name": "DOMINIQUE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-603-0525",
        "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": []
}

• Nathaniel Durtschi DMD PA (Aspen Dental)
• Paul Emmanuel Ndjabe, PHARMACIST
• William Douglas Necaise, ARNP
• Zoey A Nelson
• Sherley Ann Nevarez Aquino
• Brittany Sue Newman, LCSW
• Melissa Carter Newsom
• Huy Bao Nguyen, MD
• Nicole Reeves (reeves manor llc)
• Elin Beatrice. Olivia Nirlen, OTR

• Behavior Analyst in Crestview, FL
• Providers in Crestview, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2025; 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.