Individual
MRS. ANGELICA L LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5138 N JULIANO RD, LAS VEGAS, NV 89149-4110
(702) 940-7896
Mailing address
5138 N JULIANO RD, LAS VEGAS, NV 89149-4110
(702) 940-7896
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
NV
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10
—
NV
Enumeration date
06/22/2015
Last updated
06/22/2015
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