Individual
JESSICA LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
262 WESTFIELD RD, HOLYOKE, MA 01040-1662
(617) 999-8281
Mailing address
55 E COLORADO BLVD STE 560, PASADENA, CA 91105-1901
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/12/2020
Last updated
09/12/2020
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