Provider Demographics
NPI:1407662018
Name:STANDEVEN, LINDSAY KENDALL (BCBA)
Entity type:Individual
Prefix:
First Name:LINDSAY
Middle Name:KENDALL
Last Name:STANDEVEN
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:LINDSAY
Other - Middle Name:GRAY
Other - Last Name:KENDALL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BCBA
Mailing Address - Street 1:11560 GREAT OAKS WAY STE 300
Mailing Address - Street 2:
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30022-2453
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:11560 GREAT OAKS WAY STE 300
Practice Address - Street 2:
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30022-2453
Practice Address - Country:US
Practice Address - Phone:404-474-2212
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-09
Last Update Date:2024-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst