Individual
ANTICIA D LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1088 FOREST OAKS DR, BATON ROUGE, LA 70815-2326
(225) 229-9185
Mailing address
1088 FOREST OAKS DR, BATON ROUGE, LA 70815-2326
(225) 229-9185
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/31/2021
Last updated
03/31/2021
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