Individual
MELANIE DIANNA LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1000 TYLER TRL, WYLIE, TX 75098-8770
(972) 342-7873
Mailing address
1000 TYLER TRL, WYLIE, TX 75098-8770
(972) 342-7873
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-18-32476
TX
Other
Enumeration date
09/29/2018
Last updated
09/29/2018
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