New Leaf Behavioral Support LLC

Behavior Analyst · Crestview, FL

Organization Active NPI

NPI number 1851253322

Practice location

3291 Andy Ln
Crestview, FL 32539-8625
Phone
(850) 603-0525

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NPI record

NPI
1851253322
Entity type
Organization (Type 2)
Enumeration date
December 2, 2025
Last updated
December 2, 2025
Certified
December 2, 2025
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Analyst Primary 103K00000X — —

Authorized official

Name
Dominique Giese, BCBA
Title
Owner
Phone
(850) 603-0525

About New Leaf Behavioral Support LLC

New Leaf Behavioral Support LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Behavior Analyst (code 103K00000X). The practice location is 3291 Andy Ln, Crestview, FL 32539-8625. The NPI number 1851253322 was assigned on December 2, 2025 and the record was last updated on December 2, 2025.

The authorized official for this organization is Dominique Giese, BCBA, Owner.

Frequently asked questions

What is the NPI number of New Leaf Behavioral Support LLC?

The NPI number is 1851253322.

What is the phone number of New Leaf Behavioral Support LLC?

The phone number listed for the practice location is (850) 603-0525.

Where is New Leaf Behavioral Support LLC located?

3291 Andy Ln, Crestview, FL 32539-8625.

What is the taxonomy code for New Leaf Behavioral Support LLC?

The primary taxonomy code is 103K00000X – Behavior Analyst.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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