Individual
MEGAN LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
79 SAND PEBBLE DR, JACKSON, TN 38305-7591
(855) 444-5664
Mailing address
219 SUNNYSIDE DR, JACKSON, TN 38301-3301
(731) 336-9692
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1606
TN
106S00000X
Behavior Technician
RBT-21-173496
TN
Other
Enumeration date
05/31/2022
Last updated
09/10/2024
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