Individual
AMANDA LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
6915 SHAVELSON ST, HOUSTON, TX 77055-7630
(281) 883-9594
Mailing address
6915 SHAVELSON ST, HOUSTON, TX 77055-7630
(281) 883-9594
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-13-14647
TX
Other
Enumeration date
01/20/2014
Last updated
08/31/2016
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