Individual
JORDEN LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1114 PARK LN APT D, MIDDLETOWN, OH 45042-3426
(513) 252-6822
Mailing address
1114 PARK LN APT D, MIDDLETOWN, OH 45042-3426
(513) 223-0676
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
385H00000X
Respite Care
Primary
—
—
Other
Enumeration date
04/25/2025
Last updated
03/04/2026
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