Spring Leaves Academy, LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

SPRING LEAVES ACADEMY, LLC

Practice address

13518 Gorgona Isle Dr
Windermere, FL 34786-6762

Phone

(321) 616-4354

NPI assigned

Oct 28, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Nicholas L Weatherly, PH.D., BCBA-DNPI 1669737201

Title

Owner

Phone

(321) 616-4354

Specialties & licenses 1

Addresses

Electronic endpoints 1

Practitioners 1

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

• Nicholas L Weatherly

  • Behavior Analyst
  • Louisville, KY
  • NPI 1669737201
  NPD Authorized official

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

{
    "created_epoch": "1635379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635379200000",
    "number": "1881358448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13518 GORGONA ISLE DR",
            "city": "WINDERMERE",
            "state": "FL",
            "postal_code": "347866762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13518 GORGONA ISLE DR",
            "city": "WINDERMERE",
            "state": "FL",
            "postal_code": "347866762",
            "telephone_number": "321-616-4354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRING LEAVES ACADEMY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-28",
        "last_updated": "2021-10-28",
        "certification_date": "2021-10-28",
        "status": "A",
        "authorized_official_last_name": "WEATHERLY",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "321-616-4354",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D., BCBA-D"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.springleavesacademy.com",
            "affiliation": "N",
            "endpointDescription": "Company website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "13518 Gorgona Isle Dr",
            "city": "Windermere",
            "state": "FL",
            "country_code": "US",
            "postal_code": "347866762",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2021; 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.