Individual
MELISSA BETH LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6214 24TH AVE, BROOKLYN, NY 11204-3319
(212) 481-4040
Mailing address
12337 MACKEY ST, OVERLAND PARK, KS 66213-1433
(660) 221-5047
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
11/07/2024
Last updated
12/13/2024
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