Individual
KYLEE LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
358 S 700 E STE B307, SALT LAKE CITY, UT 84102-2161
(801) 935-5796
Mailing address
358 S 700 E, STE. B307, SALT LAKE CITY, UT 84102
(801) 935-5796
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-17-26045
UT
103K00000X
Behavior Analyst
RBT-17-28489
UT
Other
Enumeration date
01/25/2017
Last updated
07/21/2022
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