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Individual
JASON DAVID LEWIS
Active
Individual
JASON DAVID LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BCBA
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-15-19589
FL
Other
Enumeration date
08/09/2016
Last updated
08/09/2016
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