Individual
FREDERICKA LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9643A JEFFERSON HWY, RIVER RIDGE, LA 70123-2509
(985) 856-3532
Mailing address
PO BOX 1137, THIBODAUX, LA 70302-1137
(985) 447-7905
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
L994
LA
Other
Enumeration date
07/01/2025
Last updated
07/10/2025
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