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NPI Code Detail

MEDICARE: ASHLEY LACHELLE LEE BCBA, LBA

MEDICARE: ASHLEY LACHELLE LEE BCBA, LBA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106E00000XAssistant Behavior Analyst
2106S00000XBehavior Technician
3103K00000XBehavior Analyst

General Provider Information

NPI Number : 1457855843
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHLEY LACHELLE LEE BCBA, LBA
Provider Business Mailing Address
First Line : PO BOX 48086
Second Line :
City : CUMBERLAND
State : NC
Zip : 28331-8086
Country : US
Telephone Number : 910-651-4609
Fax Number :
Provider Business Practice Location Address
First Line : 956 W CHATHAM ST
Second Line :
City : CARY
State : NC
Zip : 27511-3169
Country : US
Telephone Number : 919-737-2292
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/20/2018
Last Update Date : 06/02/2024

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