| Provider / Organization | NPI | Date Certified |
|---|---|---|
| MALIA LEE | 1407592918 | 2022-05-08 |
Malia Lee is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1407592918. Registration indicates Malia Lee is a provider of services with a specialization in Behavioral Health & Social Service Providers, Behavior Technician (Behavior Technician, Behavioral Health & Social Service Providers) (Behavior Technician, )
| Entity Type | Individual |
| Provider Name | Malia Lee NONE |
| Practice Office Address | 7760 FRANCE AVE S FL 11 MINNEAPOLIS, MN US |
| Practice Office Telephone | 6125948405 |
| Mailing Address | 7760 FRANCE AVE S FL 11 MINNEAPOLIS, MN 554355930 US |
| Code | Practice | License No State |
|---|---|---|
| 106S00000X PRIMARY | Behavioral Health & Social Service Providers Behavior Technician Behavior Technician Behavioral Health & Social Service Providers Behavior Technician |