Individual
AHDE LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
905 VICTOR AVE APT 3, INGLEWOOD, CA 90302-2652
(310) 946-9030
Mailing address
905 VICTOR AVE APT 3, INGLEWOOD, CA 90302-2652
(310) 946-9030
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
CA
Other
Enumeration date
10/31/2023
Last updated
10/31/2023
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