Active NPI
Leslie L Lilino, MA, BCBA
- Behavior Analyst
- Orem, UT
National Provider Identifier
1457748923
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 4745929-2506
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 4745929-2506 | UT | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Transitional Behavior Support | Behavior Analyst | Current | 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.
-
- Behavior Analyst
- Orem, UT
- NPI 1093435133
-
- Behavior Analyst
- Lehi, UT
- NPI 1659012193
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.