Provider Demographics
NPI:1508409442
Name:LEE, MINHA HAM (BCBA)
Entity Type:Individual
Prefix:MRS
First Name:MINHA
Middle Name:HAM
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 1:277 GEMINI DR UNIT 2C
Mailing Address - Street 2:
Mailing Address - City:HILLSBOROUGH
Mailing Address - State:NJ
Mailing Address - Zip Code:08844-4980
Mailing Address - Country:US
Mailing Address - Phone:714-469-3997
Mailing Address - Fax:
Practice Address - Street 1:277 GEMINI DR UNIT 2C
Practice Address - Street 2:
Practice Address - City:HILLSBOROUGH
Practice Address - State:NJ
Practice Address - Zip Code:08844-4980
Practice Address - Country:US
Practice Address - Phone:714-469-3997
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-23
Last Update Date:2019-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst