Elaine Ida Lee, BCBA, LPC
Behavior Analyst in Muskego, WI. Individual provider (NPI-1).
NPI number1124285010
StatusActive
Last updated in NPPESAug 1, 2013
Details
- NPI
- 1124285010
- Entity type
- Individual (NPI-1)
- Name
- Ms. Elaine Ida Lee
- Credential
- BCBA, LPC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 19, 2008
- Last updated
- Aug 1, 2013
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | 67-140 | WI | Yes |
| 101Y00000X | Counselor | 178.005691 | IL |
Practice location
S78w18425 Lions Park Dr Apt 1Muskego, WI 53150-8703
Phone 815-590-7466
Mailing address
S78w18425 Lions Park Dr Apt 1Muskego, WI 53150-8703
Phone 815-590-7466
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Other Behavior Analyst providers in Muskego, WI
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