Individual
ANGELA LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16239 HIGHWAY 70 E, LENOIR CITY, TN 37772-5475
(865) 333-2386
Mailing address
16239 HIGHWAY 70 E, LENOIR CITY, TN 37772-5475
(865) 333-2386
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-16-22906
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-16-22906
BACB
TN
01
—
LBA182
STATE OF TN
—
Enumeration date
07/21/2016
Last updated
07/23/2021
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