# LEAP FOR KIDS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1831611722
- **Authorized official:** KIM MAURO (OWNER/EXECUTIVE DIRECTOR)
- **Authorized official phone:** (585) 298-8876

## Contact information

- **Practice address:** 1100 UNIVERSITY AVE, ROCHESTER, NY 14607-1653
- **Practice address phone:** (585) 797-9366
- **Mailing address:** 6512 N LAKE RD, BERGEN, NY 14416-9540
- **Mailing address phone:** (585) 813-9428

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 252Y00000X | Early Intervention Provider Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 07/12/2017
- **Last updated:** 07/12/2017