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Organization

LEAF BEHAVIOR SUPPORT LLC

Active
Parent organization
LEAF BEHAVIOR SUPPORT
Other names
LEAF Learning Center
Organization subpart
Yes

Provider details

NPI number
Legal business name
LEAF BEHAVIOR SUPPORT
Authorized official
WHITNEY KING PBS-F (CEO)
(757) 971-1414
Entity
Organization

Contact information

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

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
106E00000X
Assistant Behavior Analyst
106S00000X
Behavior Technician
224Z00000X
Occupational Therapy Assistant
224ZE0001X
Environmental Modification Occupational Therapy Assistant
225800000X
Recreation Therapist
225X00000X
Occupational Therapist
225XF0002X
Feeding, Eating & Swallowing Occupational Therapist
225XM0800X
Mental Health Occupational Therapist
235Z00000X
Speech-Language Pathologist
251S00000X
Community/Behavioral Health Agency

Other

Enumeration date
04/09/2022
Last updated
04/09/2022
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