Individual
LA'VELL LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RBT
Contact information
Practice address
324 PECAN CT, DELAWARE, OH 43015-3233
(567) 674-0626
Mailing address
324 PECAN CT, DELAWARE, OH 43015-3233
(156) 767-4062
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/07/2023
Last updated
08/07/2023
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