Individual
ALEXX LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1100 HAXTON DR UNIT 115, FORT COLLINS, CO 80525-6213
(970) 305-8642
(970) 568-8904
Mailing address
21600 OXNARD ST, WOODLAND HILLS, CA 91367-4976
(818) 345-2345
(000) 000-0000
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
X067021006
MO
Other
Enumeration date
08/24/2018
Last updated
08/24/2018
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