Individual
ANGELA LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
700 UNIVERSITY DR E STE 106, COLLEGE STATION, TX 77840-1848
(979) 985-9503
Mailing address
700 UNIVERSITY DR E STE 106, COLLEGE STATION, TX 77840-1848
(979) 985-9503
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/13/2019
Last updated
08/13/2019
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