Organization
TRANSITIONAL BEHAVIOR SUPPORT
Active
Other names
Transitional Behavior Support
Organization subpart
No
Provider details
NPI number
Authorized official
LESLIE LILINO BCBA LBA (OWNER)
(385) 245-2555
Entity
Organization
Contact information
Practice address
262 E 1600 N, OREM, UT 84057-2748
(385) 208-0538
Mailing address
262 E 1600 N, OREM, UT 84057-2748
(385) 208-0538
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1457748923
—
UT
Enumeration date
08/30/2022
Last updated
08/30/2022
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