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Individual

MR. LEE VANDERTULIP

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
BCBA

Contact information

Practice address
1401 UNIVERSAL CITY BLVD, UNIVERSAL CITY, TX 78148-3317
(210) 336-1524
(210) 346-0277
Mailing address
3100 PREMIER DRIVE, SUITE 234, IRVING, TX 75063-3602
(210) 336-1524

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1345
TX

Other

Enumeration date
08/10/2007
Last updated
10/01/2021
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