Individual
KEVIN JOHN LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1801 VINCENTE ST, SAN FRANCISCO, CA 94116-2923
(415) 681-3211
Mailing address
1001 SNEATH LN STE 200, SAN BRUNO, CA 94066-2349
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
172V00000X
Community Health Worker
—
—
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
12/07/2021
Last updated
05/20/2025
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