Provider Demographics
NPI:1447794961
Name:LESTER, LINDA (MA)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:
Last Name:LESTER
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16913 LAKESIDE DR
Mailing Address - Street 2:SUITE 11
Mailing Address - City:MONTVERDE
Mailing Address - State:FL
Mailing Address - Zip Code:34756-3230
Mailing Address - Country:US
Mailing Address - Phone:407-544-2351
Mailing Address - Fax:
Practice Address - Street 1:16913 LAKESIDE DR
Practice Address - Street 2:SUITE 11
Practice Address - City:MONTVERDE
Practice Address - State:FL
Practice Address - Zip Code:34756-3230
Practice Address - Country:US
Practice Address - Phone:407-544-2351
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-12-19
Last Update Date:2016-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior Analyst