Elly Mina Lee

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

617 W Smoke Tree Rd
Gilbert, AZ 85233-6830

Phone

(602) 525-7358

NPI assigned

Jul 10, 2025

Last updated

Jul 10, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Wei Zou Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1752105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752105600000",
    "number": "1629969431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "617 W SMOKE TREE RD",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852336830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "617 W SMOKE TREE RD",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852336830",
            "telephone_number": "602-525-7358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "ELLY",
        "middle_name": "MINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-07-10",
        "last_updated": "2025-07-10",
        "certification_date": "2025-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WEI",
            "last_name": "ZOU",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Derek Leclair, PHARMD
• Lisa Lecomte
• Christie M Leday, SLPA
• Amy Michelle Lee, O.D.
• Branden Lee
• Lisa Kaye Lee
• Maureen Lee, M.D.
• Michael Xiang Lee, MD
• Ronald J Lee, MD
• Shereelynn Lee

• Behavior Technician in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Behavior Technician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.