Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
NEW LEAF BEHAVIORAL SUPPORT LLC
Active
Organization
NEW LEAF BEHAVIORAL SUPPORT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOMINIQUE GIESE BCBA (OWNER)
(850) 603-0525
Entity
Organization
Contact information
Practice address
3291 ANDY LN, CRESTVIEW, FL 32539-8625
(850) 603-0525
Mailing address
3291 ANDY LN, CRESTVIEW, FL 32539-8625
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
12/02/2025
Last updated
12/02/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up