Individual provider Active NPI

Leslie L Lilino, MA, BCBA

  • Behavior Analyst
  • Orem, UT
National Provider Identifier
1457748923
Registry record updated Apr 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
4745929-2506 Issued in UT
Practice address
262 E 1600 N
Orem, UT 84057-2748
Phone
(385) 208-0538
NPI assigned
Apr 22, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 27, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 4745929-2506 UT Primary

Addresses

Primary practice location

262 E 1600 N
Orem, UT 84057-2748

Mailing address

262 E 1600 N
Orem, UT 84057-2748
Phone (385) 208-0538

Other practice location 1

349 W 400 S
Provo, UT 84601-4346
Phone (801) 360-0485

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
4745929-2506UTMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Transitional Behavior Support Behavior Analyst CurrentSince Sep 4, 2022 Accepting new patients
Venture Crossing LLC Behavior Analyst Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1429660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651017600000",
    "number": "1457748923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "262 E 1600 N",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840572748",
            "telephone_number": "385-208-0538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "262 E 1600 N",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840572748",
            "telephone_number": "385-208-0538"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "349 W 400 S",
            "address_purpose": "LOCATION",
            "city": "Provo",
            "state": "UT",
            "postal_code": "846014346",
            "country_code": "US",
            "telephone_number": "801-360-0485",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LILINO",
        "first_name": "LESLIE",
        "middle_name": "L",
        "credential": "MA, BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-22",
        "last_updated": "2022-04-27",
        "certification_date": "2022-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "UT",
            "license": "4745929-2506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orem, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.