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Organization
LEE UNIVERSITY
Active
Organization
LEE UNIVERSITY
Active
Other names
Lee University Developmental Inclusion Classrooms (LUDIC)
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TAMARA JOHNSON ED.D., BCBA-D (LUDIC DIRECTOR)
(423) 961-3785
Entity
Organization
Contact information
Practice address
1120 N OCOEE ST, CLEVELAND, TN 37311-4458
(423) 614-8000
(423) 614-9180
Mailing address
1120 N OCOEE ST, CLEVELAND, TN 37311-4458
(423) 614-8190
(423) 614-9180
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-08-4396
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
TN
Enumeration date
07/24/2015
Last updated
07/24/2015
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