Individual
MS. STEPHANIE LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6998 KONA DR, GAINESVILLE, VA 20155-3327
(571) 621-9947
Mailing address
7771 ASHTON AVE, MANASSAS, VA 20109-2879
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-23-66814
VA
106S00000X
Behavior Technician
—
—
Other
Enumeration date
01/22/2021
Last updated
07/27/2023
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