Individual
COURTNEY LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2994 OLD AIRPORT RD, NEW BERN, NC 28562-8738
(855) 223-7123
Mailing address
PO BOX 33568, SAN DIEGO, CA 92163-3568
(855) 223-7123
(619) 374-7134
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-23-66512
NC
103K00000X
Behavior Analyst
Primary
1808
NC
103K00000X
Behavior Analyst
220084
MS
Other
Enumeration date
11/27/2019
Last updated
07/18/2024
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