Provider Demographics
NPI:1366203994
Name:LEAP WITH ABA L.L.C
Entity type:Organization
Organization Name:LEAP WITH ABA L.L.C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BCBA
Authorized Official - Prefix:
Authorized Official - First Name:LIZ
Authorized Official - Middle Name:L
Authorized Official - Last Name:ESPINOSA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-307-6561
Mailing Address - Street 1:3244 NE 8TH PL
Mailing Address - Street 2:
Mailing Address - City:CAPE CORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33909-3349
Mailing Address - Country:US
Mailing Address - Phone:786-307-6561
Mailing Address - Fax:
Practice Address - Street 1:3244 NE 8TH PL
Practice Address - Street 2:
Practice Address - City:CAPE CORAL
Practice Address - State:FL
Practice Address - Zip Code:33909-3349
Practice Address - Country:US
Practice Address - Phone:786-307-6561
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-22
Last Update Date:2024-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty