Healthcare Provider Details

I. General information

NPI: 1477123990
Provider Name (Legal Business Name): ARTHUR LEE M.S., BCBA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/28/2021
Last Update Date: 10/01/2025
Certification Date: 10/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1890 WAITE ST
NORTH BEND OR
97459-1229
US

IV. Provider business mailing address

1890 WAITE ST
NORTH BEND OR
97459-1229
US

V. Phone/Fax

Practice location:
  • Phone: 541-756-6232
  • Fax:
Mailing address:
  • Phone: 541-756-6232
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-21-50870
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: