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Moss Lee

Behavior Technician in Southfield, MI. Individual provider (NPI-1).

NPI number1831999341
StatusActive
Last updated in NPPESApr 14, 2025

Details

NPI
1831999341
Entity type
Individual (NPI-1)
Name
Moss Lee
Sex
Female
Sole proprietor
No
Enumeration date
Mar 14, 2025
Certification date
Apr 14, 2025
Last updated
Apr 14, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

29566 Northwestern Hwy Ste 100
Southfield, MI 48034-1036

Phone 248-301-1098

Mailing address

29566 Northwestern Hwy Ste 100
Southfield, MI 48034-1036

Phone 248-301-1098

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