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A LEAP BEYOND AUTISM SERVICES, LLC
NPI 1417524307
Behavior Analyst in Tyrone, GA

Active since June 08, 2021
110 NEWFIELD DR, TYRONE, GA 30290(678) 862-6226 Get Directions Write a Review

NPPES record last updated: October 6, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 6, 2022, Jun 8, 2021 (2 updates tracked since 2021).

About A Leap Beyond Autism Services, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

A LEAP BEYOND AUTISM SERVICES, LLC (NPI 1417524307) is a healthcare organization registered as a behavior analyst in Tyrone, Georgia and active in the NPI registry since June 2021. The organization lists Tia Chalise Penn-tabor, Ceo, as its authorized official.

NPPES Registry Identity

NPI1417524307
Entity TypeOrganization
Primary Taxonomy103K00000X
Legal Business NameA LEAP BEYOND AUTISM SERVICES, LLC
Location Address110 NEWFIELD DRTyrone, GA 30290-2567
Mailing Address100 Commerce Dr Unit 452Tyrone, GA 30290-8020 · (404) 966-3933
Phone(678) 862-6226
Organization SubpartNo
Authorized OfficialTia Chalise Penn-taborCeo · (404) 966-3933
Enumeration DateJune 8, 2021
Last NPPES UpdateOctober 6, 20222 updates tracked since enumeration
NPPES CertifiedOctober 6, 2022
✔ NPI 1417524307 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers
Taxonomy Code103K00000X
Definition
A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.
110 NEWFIELD DR, Tyrone, GA 30290
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Other Identifiers 1

Medicaid8837997616GA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is A Leap Beyond Autism Services, LLC's NPI number?

The NPI number for A Leap Beyond Autism Services, LLC is 1417524307. It was assigned to this organization in the NPPES registry on June 8, 2021.

Where is A Leap Beyond Autism Services, LLC located?

A Leap Beyond Autism Services, LLC is located at 110 Newfield Dr, Tyrone, GA 30290. The listed phone number is (678) 862-6226.

What is A Leap Beyond Autism Services, LLC's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

When was this NPI record last updated?

The NPPES record for A Leap Beyond Autism Services, LLC was last updated on October 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.