Jenon Lee
Day Training/Habilitation Specialist in Santa Monica, CA. Individual provider (NPI-1).
NPI number1245562099
StatusActive
Last updated in NPPESMay 9, 2025
Details
- NPI
- 1245562099
- Entity type
- Individual (NPI-1)
- Name
- Jenon Lee
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 4, 2010
- Certification date
- May 9, 2025
- Last updated
- May 9, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 373H00000X | Day Training/Habilitation Specialist | – | – | Yes |
| 172V00000X | Community Health Worker | – | – | |
| 225400000X | Rehabilitation Practitioner | – | – |
Practice location
1339 20th StSanta Monica, CA 90404-2033
Phone 310-829-8575
Mailing address
1339 20th StSanta Monica, CA 90404-2033
Phone 310-829-8575
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