OrganizationActive
A Leap Beyond Autism Services, LLC
NPI 1417524307 · Behavior Analyst · Tyrone, GA
Provider details
- NPI number
- 1417524307
- Entity type
- Organization
- Primary specialty
- Behavior AnalystBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Tia Penn-Tabor, Ceo(404) 966-3933
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
110 Newfield Dr
Tyrone, GA 30290-2567
Phone: (678) 862-6226
Approximate (ZIP-level) locationGet directions
Mailing address
100 Commerce Dr Unit 452
Tyrone, GA 30290-8020
Registry dates
- Enumerated
- 2021-06-08
- Last updated
- 2022-10-06
- Certified
- 2022-10-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.