Johnson Lee
Individual provider Active NPI Behavior Analyst · Steger, IL
NPI 1326344904 · NPPES record last updated Jan 31, 2011
Key facts
- NPI
- 1326344904
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- Practice address
- 67 E 34TH St
Steger, IL 60475-1106 - Phone
- (708) 756-0010
- NPI assigned
- Jan 31, 2011
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Yes |
Addresses
Primary practice location
67 E 34TH St
Steger, IL 60475-1106
Mailing address
17746 Oak Park Ave
Tinley Park, IL 60477-3936
Other providers in Steger, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 31, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.