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Individual

LESLIE L LILINO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA, BCBA

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
4745929-2506
UT

Other

Enumeration date
04/22/2015
Last updated
04/27/2022
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