NPI 1053926758 · live from the CMS NPI Registry
Bethany Joyanna Lee, BCBA
Behavior Analyst in Wasilla, AK. National Provider Identifier 1053926758, active.
NPI record
| NPI | 1053926758 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 1732 N Birdsell Dr Unit B, Wasilla, AK 99623 |
| Practice phone | 907-903-1949 |
| Enumerated | September 10, 2020 |
| Last updated | September 23, 2026 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Technician | 106S00000X | — |
| Behavior Analyst primary | 103K00000X | 243817 (AK) |
| Assistant Behavior Analyst | 106E00000X | 200945 (AK) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.