Individual
CHAD LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA, LBA
Contact information
Practice address
1450 E 10TH ST, ROLLA, MO 65401-3648
(888) 403-1071
Mailing address
1800 COMMUNITY, CLINTON, MO 64735-8804
(660) 885-8131
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2014011746
MO
Other
Enumeration date
05/06/2014
Last updated
08/24/2020
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