Individual
EMMA ROSE LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 VESTAVIA PKWY STE 2400, VESTAVIA, AL 35216-3797
(205) 490-5364
Mailing address
200 VESTAVIA PKWY STE 2400, VESTAVIA, AL 35216-3797
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/05/2024
Last updated
08/05/2024
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