MEDICARE: KAMAU LEE

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
1	103K00000X	Behavior Analyst	1-25-85486	TX

General Provider Information

NPI Number	:	1821708165
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAMAU LEE

Provider Business Mailing Address
First Line	:	919 MEDICAL DR STE 1200
Second Line	:
City	:	ALLEN
State	:	TX
Zip	:	75013-5756
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	919 MEDICAL DR STE 1200
Second Line	:
City	:	ALLEN
State	:	TX
Zip	:	75013-5756
Country	:	US
Telephone Number	:	972-217-4110
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/28/2022
Last Update Date	:	11/13/2025

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Directions to “ KAMAU LEE ” Practice Location

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