Individual
SHAQUAINA JANAE LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
2185 NORMANDIE DR, MONTGOMERY, AL 36111-2728
(334) 252-0025
Mailing address
1305 HUNTER ST, TUSKEGEE, AL 36083-2924
(850) 712-3467
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/07/2018
Last updated
09/07/2018
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