Individual
AMANDA N LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1515 INDIAN RIVER BLVD STE A210, VERO BEACH, FL 32960-7107
(772) 774-8224
(772) 774-8275
Mailing address
6420 53RD ST, VERO BEACH, FL 32967-6130
(772) 696-0044
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-293490
—
Other
Enumeration date
09/15/2023
Last updated
09/15/2023
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