Individual
LATREVE LYNN LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4730 E CRAIG RD UNIT 2091, LAS VEGAS, NV 89115-1860
(702) 750-5061
Mailing address
4730 E CRAIG RD UNIT 2091, LAS VEGAS, NV 89115-1860
(702) 750-5061
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
NV
Other
Enumeration date
12/03/2013
Last updated
12/12/2013
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