Individual
JOHANNA MARIE LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
500 WILSON PIKE CIR, STE 320, BRENTWOOD, TN 37027-5252
(615) 376-0034
Mailing address
500 WILSON PIKE CIR, STE 320, BRENTWOOD, TN 37027-5252
(615) 376-0034
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-10-6806
TN
Other
Enumeration date
05/06/2011
Last updated
05/06/2011
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