Healthcare Provider Details

I. General information

NPI: 1922751437
Provider Name (Legal Business Name): TAMEKA AKILAH LEE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/03/2022
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3406 W SAN PEDRO ST
TAMPA FL
33629-7923
US

IV. Provider business mailing address

908 BRENTON LEAF DR
RUSKIN FL
33570-7924
US

V. Phone/Fax

Practice location:
  • Phone: 904-710-1547
  • Fax: 813-512-2734
Mailing address:
  • Phone: 727-458-7786
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-26-89628
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: