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Organization
LEAP-LIFELONG EMPOWERMENT ABA & PSYCHOTHERAPY LLC
Active
Organization
LEAP-LIFELONG EMPOWERMENT ABA & PSYCHOTHERAPY LLC
Active
Other names
LEAP ABA LLC
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA CORETTO LPC (OWNER)
(860) 986-1496
Entity
Organization
Contact information
Practice address
2 FOREST PARK DR STE 2-2-LM, FARMINGTON, CT 06032-1445
(860) 383-7090
(860) 968-8667
Mailing address
2 FOREST PARK DR STE 2-2-LM, FARMINGTON, CT 06032-1445
(860) 383-7090
(860) 968-8667
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
—
103K00000X
Behavior Analyst
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1043801491
—
CT
Enumeration date
08/07/2024
Last updated
03/18/2025
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