Individual
ELIJAH LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7016 CORPORATE WAY, WASHINGTON TOWNSHIP, OH 45459-4300
(937) 951-2084
(877) 739-5359
Mailing address
1750 COMMERCE CENTER BLVD, FAIRBORN, OH 45324-6333
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-302076
OH
Other
Enumeration date
06/17/2022
Last updated
10/04/2023
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