Individual
MS. KIA DESHUN LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1566 ANDREWS AVE, OZARK, AL 36360-3718
(334) 443-0883
Mailing address
PO BOX 230, NEWTON, AL 36352-0230
(334) 475-1056
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-413727
AL
Other
Enumeration date
03/08/2025
Last updated
03/08/2025
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