Individual
ANGELICA LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1708A OWEN DR, FAYETTEVILLE, NC 28304-3419
(910) 709-4288
Mailing address
5816 AFTONSHIRE DR, FAYETTEVILLE, NC 28304-2404
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/24/2025
Last updated
09/24/2025
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