Individual
DESTINY LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
208 BRADSHAW PIKE EXT, HOPKINSVILLE, KY 42240-4436
(888) 423-2559
Mailing address
208 BRADSHAW PIKE EXT BLDG 3, HOPKINSVILLE, KY 42240-4436
(888) 423-2559
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-332856
KY
Other
Enumeration date
03/11/2024
Last updated
03/11/2024
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