Individual
CHARLENE LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., B.C.B.A.
Contact information
Practice address
5820 STONERIDGE MALL RD STE 205, PLEASANTON, CA 94588-3347
(714) 788-4139
Mailing address
PO BOX 74, NEW ALMADEN, CA 95042-0074
(714) 788-4139
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-15-19000
CA
Other
Enumeration date
07/22/2016
Last updated
07/22/2016
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