Individual
RACHAEL ELLINGTON LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MED, BCBA, LBA
Contact information
Practice address
10912 NEWLANDS AVE, HENRICO, VA 23233-1907
(804) 986-3860
Mailing address
10912 NEWLANDS AVE, HENRICO, VA 23233-1907
(804) 986-3860
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0133001257
VA
Other
Enumeration date
11/20/2018
Last updated
07/02/2024
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