Individual
MR. DAVID X LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
S78W18425 LIONS PARK DR APT 1, MUSKEGO, WI 53150-8703
(815) 564-9466
Mailing address
S78W18425 LIONS PARK DR APT 1, MUSKEGO, WI 53150-8703
(815) 564-9466
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-12-10063
—
103K00000X
Behavior Analyst
65-140
WI
Other
Enumeration date
06/19/2012
Last updated
08/01/2013
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