| Transitional Behavior Support | |
|
262 E 1600 N Orem UT 84057-2748 | |
| (385) 208-0538 | |
| Not Available |
| Full Name | Transitional Behavior Support |
|---|---|
| Speciality | Behavior Analyst |
| Location | 262 E 1600 N, Orem, Utah |
| Authorized Official Name and Position | Leslie Lilino (OWNER) |
| Authorized Official Contact | 3852452555 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Transitional Behavior Support 262 E 1600 N Orem UT 84057-2748 Ph: (385) 208-0538 | Transitional Behavior Support 262 E 1600 N Orem UT 84057-2748 Ph: (385) 208-0538 |
| NPI Number | 1093435133 |
|---|---|
| Provider Enumeration Date | 08/30/2022 |
| Last Update Date | 08/30/2022 |
| Certification Date | 08/30/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093435133 | NPI | - | NPPES |
| 1457748923 | Medicaid | UT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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