Lee, Madeline V

Lee, Madeline V is an individual health care provider with primary practice located at 537 Deltona Blvd , Deltona FL 32725-8017. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Lee, Madeline V can be contacted via phone (904) 878-8683.

Contact Information

Primary practice address
537 Deltona Blvd Deltona FL 32725-8017
Phone: (904) 878-8683
Fax: (386) 200-5752
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-20-45867 Florida

Profile Details

NPI number 1548811912
LBN Legal business name Lee, Madeline V
Credentials BCBA
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2019
Last updated Nov 13th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548811912 NPPES
Florida MEDICAID 766530

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