Individual
SHANTIA CHEVELLE LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
737 FAWCETT AVE, TACOMA, WA 98402-5503
(253) 396-5800
Mailing address
737 FAWCETT AVE, TACOMA, WA 98402-5503
(253) 396-5800
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
103K00000X
Behavior Analyst
Primary
—
WA
106E00000X
Assistant Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
05/19/2021
Last updated
07/14/2026
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