Lee L Bouie JR.

NPI #1346936150 in Lithonia, Georgia

Provider Information

NPI Number: 1346936150
Entity Type: Individual
Name: Lee L Bouie JR.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Apr 14, 2023
Last Updated: Apr 14, 2023

Practice Location

Address: 5461 HILLANDALE DR STE 100
City: Lithonia
State: Georgia
ZIP Code: 30058-4842
Phone: (470) 361-2976

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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