Individual
AMANDA LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
2288 BLUE WATER BLVD, ODENTON, MD 21113-3309
(443) 550-1600
Mailing address
1624 CHESAPEAKE DR, EDGEWATER, MD 21037-1909
(443) 771-2611
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
MD
106S00000X
Behavior Technician
—
—
Other
Enumeration date
02/02/2022
Last updated
11/11/2025
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