Individual
LARRISE LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7857 E 88TH ST, INDIANAPOLIS, IN 46256-1233
(317) 849-5437
Mailing address
7901 E 88TH ST, INDIANAPOLIS, IN 46256-1235
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
IN
Other
Enumeration date
02/24/2022
Last updated
02/24/2022
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