Individual
MADISON LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
14 WESTPORT AVE, NORWALK, CT 06851-3915
(858) 245-8524
Mailing address
4268 W HADLEY WOOD LN, HERRIMAN, UT 84096-1433
(858) 245-8524
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-19-39434
UT
103K00000X
Behavior Analyst
Primary
1587
CT
103K00000X
Behavior Analyst
3684
TX
Other
Enumeration date
03/01/2018
Last updated
03/21/2023
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