Individual
ADA LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3282 CELESTE DR, RIVERSIDE, CA 92507-4001
(408) 992-5970
Mailing address
3282 CELESTE DR, RIVERSIDE, CA 92507-4001
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/17/2019
Last updated
12/17/2019
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