Individual
BRENDA LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
792 W LUMSDEN RD, BRANDON, FL 33511-6260
(813) 324-7538
Mailing address
792 W LUMSDEN RD, BRANDON, FL 33511-6260
(813) 324-7538
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-25-84350
FL
106E00000X
Assistant Behavior Analyst
0-25-15918
FL
106S00000X
Behavior Technician
BACB1067255
FL
Other
Enumeration date
02/27/2024
Last updated
09/22/2025
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