Tara Lee

NPI #1710777263 in Shawnee, Oklahoma

Provider Information

NPI Number: 1710777263
Entity Type: Individual
Name: Tara Lee
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: May 8, 2025
Last Updated: May 8, 2025

Practice Location

Address: 3954 N KICKAPOO AVE
City: Shawnee
State: Oklahoma
ZIP Code: 74804-1698
Phone: (405) 857-8280

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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