Samantha Brooke Lee

NPI #1003454190 in Bloomington, Indiana

Provider Information

NPI Number
1003454190
Entity Type
Individual
Name
Samantha Brooke Lee
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Behavior Technician
Enumeration Date
Dec 19, 2019
Last Updated
Dec 19, 2019

Practice Location

Address
1501 W TAPP RD
State
Indiana
ZIP Code
47403-3459
Phone
(812) 330-4460

Specialties & Taxonomy Codes

Specialty
Behavior Technician

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