Individual
JORDAN LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3825 CEDAR GROVE PKWY, SAINT PAUL, MN 55122-1419
(330) 416-5467
Mailing address
3825 CEDAR GROVE PKWY, SAINT PAUL, MN 55122-1419
(330) 416-5467
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
03/15/2024
Last updated
03/15/2024
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