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Individual
GREGORY PAUL LEE
Active
Individual
GREGORY PAUL LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCABA
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0-11-4394
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0-11-4394
BOARD CERTIFIED ASSISSTANT BEHAVIOR ANALYST
CA
Enumeration date
12/13/2011
Last updated
12/13/2011
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