Active NPI
Jaewon Lee
- Behavior Analyst
- Plano, TX
National Provider Identifier
1033695762
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 5085 W Park Blvd Ste 500
Plano, TX 75093-2591 - Phone
- (877) 775-9860
- NPI assigned
- Jul 16, 2018
- Last updated
- Apr 8, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | NU | Primary | |
| Developmental Therapist | 222Q00000X | NU |
Addresses
Primary practice location
5085 W Park Blvd Ste 500
Plano, TX 75093-2591
Mailing address
542 Amherst St Ste B
Nashua, NH 03063-1016
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775606400000",
"number": "1033695762",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "542 AMHERST ST STE B",
"city": "NASHUA",
"state": "NH",
"postal_code": "030631016"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5085 W PARK BLVD STE 500",
"city": "PLANO",
"state": "TX",
"postal_code": "750932591",
"telephone_number": "877-775-9860"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "JAEWON",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-07-16",
"last_updated": "2026-04-08",
"certification_date": "2026-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Plano, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.