Individual
JESSICA S LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
65 PHILIP DR, SHELTON, CT 06484-5132
(646) 796-4675
Mailing address
65 PHILIP DR, SHELTON, CT 06484-5132
(646) 796-4675
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2327
CT
252Y00000X
Early Intervention Provider Agency
—
—
Other
Enumeration date
07/25/2017
Last updated
05/13/2026
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