Most Relevant Information
Provider Data
| NPI Number: | 1003309246 |
| Provider Name: | JENNIFER LEE |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/12/2018 |
| Last Updated: | 06/12/2018 |
Provider Practice Location
1112 S BROADWAY
SANTA MARIA
CA
934546608
Practice Location Phone/Fax
| Phone: | 8059799941 |
| Fax: |
Provider Mailing Location
1112 S BROADWAY
SANTA MARIA
CA
934546608
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |