Provider Demographics
NPI:1235436601
Name:STANLEY, LESLIE SHIER (BCBA)
Entity Type:Individual
Prefix:MRS
First Name:LESLIE
Middle Name:SHIER
Last Name:STANLEY
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7175 COLUMBIA GATEWAY DR STE A
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21046-2536
Mailing Address - Country:US
Mailing Address - Phone:888-344-5977
Mailing Address - Fax:888-886-4716
Practice Address - Street 1:7175 COLUMBIA GATEWAY DR STE A
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21046-2536
Practice Address - Country:US
Practice Address - Phone:888-344-5977
Practice Address - Fax:888-886-4716
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-22
Last Update Date:2016-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1041924103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst