Individual
KADIJA AMIRA LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
419 CARSON HL STE 202, SAN ANTONIO, TX 78251-5500
(210) 634-1129
Mailing address
5002 WISEMAN BLVD APT 9307, SAN ANTONIO, TX 78251-3803
(210) 710-3821
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
4182
TX
103K00000X
Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
03/05/2021
Last updated
10/14/2024
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