Healthcare Provider Details

I. General information

NPI: 1013820067
Provider Name (Legal Business Name): LOURDES YULIANA LIENDO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/22/2026
Last Update Date: 09/25/2026
Certification Date: 09/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

525 AMHERST ST APT F26
NASHUA NH
03063-4058
US

IV. Provider business mailing address

525 AMHERST ST
NASHUA NH
03063-4001
US

V. Phone/Fax

Practice location:
  • Phone: 603-320-7869
  • Fax:
Mailing address:
  • Phone: 603-320-7869
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: