Provider Demographics
NPI:1437495678
Name:MILINDER, LE'ANN L (BCBA)
Entity Type:Individual
Prefix:
First Name:LE'ANN
Middle Name:L
Last Name:MILINDER
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 1:22 BAYVIEW DR
Mailing Address - Street 2:
Mailing Address - City:STOCKTON SPRINGS
Mailing Address - State:ME
Mailing Address - Zip Code:04981-4637
Mailing Address - Country:US
Mailing Address - Phone:603-513-1526
Mailing Address - Fax:
Practice Address - Street 1:22 BAYVIEW DR
Practice Address - Street 2:
Practice Address - City:STOCKTON SPRINGS
Practice Address - State:ME
Practice Address - Zip Code:04981-4637
Practice Address - Country:US
Practice Address - Phone:603-513-1526
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-12-17
Last Update Date:2022-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH1-12-12027103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst