Most Relevant Information
Provider Data
| NPI Number: | 1003587031 |
| Provider Name: | KASHERA LEE |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: | RBT-21-167497 |
Most Important Dates
| Enumeration Date: | 09/21/2021 |
| Last Updated: | 01/31/2022 |
Provider Practice Location
24 JOE KENNEDY BLVD
STATESBORO
GA
304583100
Practice Location Phone/Fax
| Phone: | 8132082024 |
| Fax: |
Provider Mailing Location
PO BOX 663
LAKELAND
MI
481430663
Provider Mailing Phone/Fax
| Phone: | 8105992129 |
| Fax: | 8105992129 |