Most Relevant Information
Provider Data
| NPI Number: | 1003468224 |
| Provider Name: | BAE LEE |
| Entity Type: | Individual |
| Taxonomy Code: | 106E00000X |
| Specialty: | Assistant Behavior Analyst |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/09/2019 |
| Last Updated: | 07/09/2019 |
Provider Practice Location
3322 BROADWAY
EVERETT
WA
982014425
Practice Location Phone/Fax
| Phone: | 4253496800 |
| Fax: |
Provider Mailing Location
2319 170TH ST SE
BOTHELL
WA
980126555
Provider Mailing Phone/Fax
| Phone: | 8082220791 |
| Fax: |