# LEAF BEHAVIOR SUPPORT LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** LEAF BEHAVIOR SUPPORT
- **Other names:** LEAF Learning Center
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1679215776
- **Legal business name:** LEAF BEHAVIOR SUPPORT
- **Authorized official:** WHITNEY KING PBS-F (CEO)
- **Authorized official phone:** (757) 971-1414

## Contact information

- **Practice address:** 3577 BRANNON DR, VIRGINIA BEACH, VA 23456-6913
- **Practice address phone:** (757) 971-1414
- **Practice address fax:** (757) 937-0287
- **Mailing address:** 3577 BRANNON DR, VIRGINIA BEACH, VA 23456-6913
- **Mailing address phone:** (757) 971-1414
- **Mailing address fax:** (757) 937-0287

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103K00000X | Behavior Analyst | — | NULL | Yes |
| 103K00000X | Behavior Analyst | — | — | Yes |
| 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
