Individual
ERICA P LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
575 DONOFRIO DR STE 200, MADISON, WI 53719-2832
(608) 512-0780
Mailing address
916 CLAY ST, STOUGHTON, WI 53589-2615
(920) 207-4083
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
386-140
WI
Other
Enumeration date
08/20/2020
Last updated
08/20/2020
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