Organization
FIRST LEAP LLC
Active
Other names
First Leap
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LAURA ALISON KRUSE M.ED, BCBA (OWNER/DIRECTOR)
(512) 887-2126
Entity
Organization
Contact information
Practice address
9901 N CAPITAL OF TEXAS HWY, #250, AUSTIN, TX 78759-5852
(512) 887-2126
(512) 949-5027
Mailing address
9901 N CAPITAL OF TEXAS HWY, #250, AUSTIN, TX 78759-5852
(512) 887-2126
(512) 949-5027
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
225X00000X
Occupational Therapist
—
—
225XM0800X
Mental Health Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251E00000X
Home Health Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
252Y00000X
Early Intervention Provider Agency
BCBA 01-06-3115
—
261QH0700X
Hearing and Speech Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
03/28/2011
Last updated
02/11/2015
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