Individual
KAITLYN PROCTOR LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8374 SIX FORKS RD STE 101, RALEIGH, NC 27615-5096
(919) 890-5852
Mailing address
10304 SPOTSYLVANIA AVE STE 300, FREDERICKSBURG, VA 22408-8605
(919) 890-5852
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-18-29948
NC
106S00000X
Behavior Technician
—
—
Other
Enumeration date
08/02/2017
Last updated
02/03/2025
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