Individual
BRIANNA LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, BCBA
Contact information
Practice address
5820 STONERIDGE MALL RD, SUITE 205, PLEASANTON, CA 94588-3274
(510) 345-9304
Mailing address
1811 CANAL WAY, SAN JOSE, CA 95132-1477
(408) 250-3959
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-16-24884
CA
Other
Enumeration date
01/12/2017
Last updated
01/12/2017
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