Individual
CHRISTINA LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
9929 E 126TH ST, FISHERS, IN 46038-9404
(317) 436-8961
Mailing address
4625 COMMON VISTA CIR, INDIANAPOLIS, IN 46220-5391
(574) 850-5884
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-15-20136
IN
Other
Enumeration date
02/22/2016
Last updated
02/22/2016
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