Mills Lebo

NPI #1407467798 in Mt Juliet, Tennessee

Provider Information

NPI Number: 1407467798
Entity Type: Individual
Name: Mills Lebo
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Aug 11, 2020
Last Updated: Aug 11, 2020

Practice Location

Address: 2138 FAWNS CREEK XING
City: Mt Juliet
State: Tennessee
ZIP Code: 37122-1207
Phone: (312) 965-2997

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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