Provider Demographics
NPI:1154017994
Name:LEAPS AND BOUNDS EARLY INTERVENTION LLC
Entity type:Organization
Organization Name:LEAPS AND BOUNDS EARLY INTERVENTION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:G
Authorized Official - Last Name:POSTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:843-409-7749
Mailing Address - Street 1:2939 BAY RD
Mailing Address - Street 2:
Mailing Address - City:PAMPLICO
Mailing Address - State:SC
Mailing Address - Zip Code:29583-5620
Mailing Address - Country:US
Mailing Address - Phone:843-409-7749
Mailing Address - Fax:
Practice Address - Street 1:2939 BAY RD
Practice Address - Street 2:
Practice Address - City:PAMPLICO
Practice Address - State:SC
Practice Address - Zip Code:29583-5620
Practice Address - Country:US
Practice Address - Phone:843-409-7749
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-14
Last Update Date:2023-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency