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Organization
LEAF BEHAVIOR SUPPORT LLC
Active
Organization
LEAF BEHAVIOR SUPPORT LLC
Active
Parent organization
LEAF BEHAVIOR SUPPORT
Other names
LEAF Learning Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
LEAF BEHAVIOR SUPPORT
Authorized official
WHITNEY KING PBS-F (CEO)
(757) 971-1414
Entity
Organization
Contact information
Practice address
3577 BRANNON DR, VIRGINIA BEACH, VA 23456-6913
(757) 971-1414
(757) 937-0287
Mailing address
3577 BRANNON DR, VIRGINIA BEACH, VA 23456-6913
(757) 971-1414
(757) 937-0287
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
NULL
103K00000X
Behavior Analyst
Primary
—
—
106E00000X
Assistant Behavior Analyst
—
NULL
106E00000X
Assistant Behavior Analyst
—
—
106S00000X
Behavior Technician
—
NULL
106S00000X
Behavior Technician
—
—
224Z00000X
Occupational Therapy Assistant
—
NULL
224Z00000X
Occupational Therapy Assistant
—
—
224ZE0001X
Environmental Modification Occupational Therapy Assistant
—
NULL
224ZE0001X
Environmental Modification Occupational Therapy Assistant
—
—
225800000X
Recreation Therapist
—
NULL
225800000X
Recreation Therapist
—
—
225X00000X
Occupational Therapist
—
NULL
225X00000X
Occupational Therapist
—
—
225XF0002X
Feeding, Eating & Swallowing Occupational Therapist
—
NULL
225XF0002X
Feeding, Eating & Swallowing Occupational Therapist
—
—
225XM0800X
Mental Health Occupational Therapist
—
NULL
225XM0800X
Mental Health Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
NULL
235Z00000X
Speech-Language Pathologist
—
—
251S00000X
Community/Behavioral Health Agency
—
NULL
Other
Enumeration date
04/09/2022
Last updated
04/09/2022
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