Individual ProviderYeongju LeeBehavior TechnicianBehavioral Health & Social Service ProvidersPractice Address4100 194th St SW Ste 100, Lynnwood, WA 98036-4613(425) 426-2761(573) 337-8003PECOS EnrollmentBased on the most recent information from CMS, provider Yeongju Lee does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1295314011Provider TypeIndividualFull NameLee, YeongjuGenderFemaleSole ProprietorNoEnumeration Date4/7/2021Last Updated4/7/2021Contact InformationPractice LocationPractice Address4100 194th St SW Ste 100, Lynnwood, WA 98036-4613Phone(425) 426-2761FaxUnlisted FaxMailing LocationMailing Address13530 Linden Ave N Apt 510, Seattle, WA 98133-7554Phone(573) 337-8003FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106S00000XPrimaryDescriptionBehavior TechnicianBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer