Provider Demographics
NPI:1427446376
Name:LEE, VICTORIA (BCBA)
Entity type:Individual
Prefix:
First Name:VICTORIA
Middle Name:
Last Name:LEE
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:125 ENGLEMANN DR
Mailing Address - Street 2:
Mailing Address - City:CORONA
Mailing Address - State:CA
Mailing Address - Zip Code:92881-8467
Mailing Address - Country:US
Mailing Address - Phone:424-298-1117
Mailing Address - Fax:
Practice Address - Street 1:1973 FOOTHILL PKWY STE 154
Practice Address - Street 2:
Practice Address - City:CORONA
Practice Address - State:CA
Practice Address - Zip Code:92881-4106
Practice Address - Country:US
Practice Address - Phone:424-298-1117
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-12-30
Last Update Date:2024-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst