Individual
JEREMY LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
400 RENAISSANCE CTR STE 2600, DETROIT, MI 48243-1599
(616) 469-3870
Mailing address
7108 S KANNER HWY, STUART, FL 34997-7462
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
MI
Other
Enumeration date
05/12/2025
Last updated
06/15/2025
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