Stephanie Lee
Behavior Technician in Lakewood, CA. Individual provider (NPI-1).
NPI number1164060711
StatusActive
Last updated in NPPESDec 13, 2019
Details
- NPI
- 1164060711
- Entity type
- Individual (NPI-1)
- Name
- Stephanie Lee
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 13, 2019
- Certification date
- Dec 13, 2019
- Last updated
- Dec 13, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
5834 Adenmoor AveLakewood, CA 90713
Phone 303-989-8169
Mailing address
5834 Adenmoor AveLakewood, CA 90713
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