Individual
MS. VICTORIA C LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., BCBA
Contact information
Practice address
4492 ACWORTH INDUSTRIAL DR NW, ACWORTH, GA 30101-5659
(678) 593-6093
Mailing address
403 E LAKE DR, MARIETTA, GA 30062-7548
(678) 593-6093
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-20-42772
GA
Other
Enumeration date
11/11/2022
Last updated
11/11/2022
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