MRS. Stephanie Marie Lee

NPI #1861962037 in Cannon Afb, New Mexico

Provider Information

NPI Number: 1861962037
Entity Type: Individual
Name: MRS. Stephanie Marie Lee
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Nov 30, 2018
Last Updated: Nov 30, 2018

Practice Location

Address: 8412 DAKOTA ST APT B
City: Cannon Afb
State: New Mexico
ZIP Code: 88101-8696
Phone: (916) 817-0269

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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