Individual
JESSICA MARIA LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1122 S 2ND ST, CABOT, AR 72023-3347
(501) 328-3274
Mailing address
1122 S 2ND ST, CABOT, AR 72023-3347
(501) 328-3274
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/10/2025
Last updated
01/10/2025
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