A Leap Beyond Autism Services, LLC

NPI #1417524307 in Tyrone, Georgia

Provider Information

NPI Number: 1417524307
Entity Type: Organization
Organization Name: A Leap Beyond Autism Services, LLC
Primary Specialty: Behavior Analyst
Enumeration Date: Jun 8, 2021
Last Updated: Oct 6, 2022

Practice Location

Address: 110 NEWFIELD DR
City: Tyrone
State: Georgia
ZIP Code: 30290-2567
Phone: (678) 862-6226

Authorized Official

Name: MRS. TIA CHALISE PENN-TABOR
Title: CEO
Phone: (404) 966-3933

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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