Individual
DESIRAE NICOLE LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4001 VIRGINIA BEACH BLVD STE 117, VIRGINIA BEACH, VA 23452-1759
(757) 963-2741
Mailing address
7108 S KANNER HWY, STUART, FL 34997-7462
(772) 349-6317
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
A61930581
VA
Other
Enumeration date
10/25/2025
Last updated
10/25/2025
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