Individual
TAMIYA D LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2403 E 48TH ST N, TULSA, OK 74130-2017
(918) 704-4288
Mailing address
2403 E 48TH ST N, TULSA, OK 74130-2017
(918) 704-4288
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
OK
Other
Enumeration date
07/15/2013
Last updated
07/15/2013
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