Individual
ELLY MINA LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
617 W SMOKE TREE RD, GILBERT, AZ 85233-6830
(602) 525-7358
Mailing address
617 W SMOKE TREE RD, GILBERT, AZ 85233-6830
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/10/2025
Last updated
07/10/2025
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