Individual
ERICA LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
1018 BOATMAN AVE NW, ORTING, WA 98360-7404
(253) 392-7412
Mailing address
1018 BOATMAN AVE NW, ORTING, WA 98360-7404
(253) 392-7412
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-16-24155
WA
Other
Enumeration date
10/12/2016
Last updated
10/12/2016
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