Individual
DASIA ANN LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
1387 N GALENA AVE, DIXON, IL 61021-1009
(815) 440-6134
Mailing address
1387 N GALENA AVE, DIXON, IL 61021-1009
(815) 440-6134
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-26-518933
IL
Other
Enumeration date
03/03/2026
Last updated
03/03/2026
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