Tennesia Lee, SSP, BCBA, LBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

5718 Issued in TX

Practice address

2665 Royal FRST Ste B200
Kingwood, TX 77339-5045

Phone

(281) 713-8980

Fax

(281) 713-8938

NPI assigned

Jan 27, 2021

Last updated

Mar 21, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Spectacular Kids ABA Therapy and Consulting, LLC

  • Behavior Analyst
  • Kingwood, TX
  • NPI 1871868125
  NPD

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

{
    "created_epoch": "1611705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679356800000",
    "number": "1770174203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6072",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773256072",
            "telephone_number": "713-256-1689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2665 ROYAL FRST STE B200",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773395045",
            "telephone_number": "281-713-8980",
            "fax_number": "281-713-8938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "TENNESIA",
        "credential": "SSP, BCBA, LBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-27",
        "last_updated": "2023-03-21",
        "certification_date": "2023-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TX",
            "license": "5718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erica Nicole Leblanc, RBT
• Drake Glenn Lebrun
• Samantha Ledezma, LMSW
• Joshua Lee, MD
• Samuel Siew-Chung Lee, DO
• Mallory Weaver Lelak, DMD
• Lemh Kingwood, PLLC
• Ralph Leonida, PHARM.D., RPH
• Amanda S Letsos, OTR
• Lauren Letsos

• Behavior Analyst in Kingwood, TX
• Providers in Kingwood, TX by specialty
• Behavior Analyst in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2023; 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.