Individual
MICHELLE LEE LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.ED, B.C.S.E
Contact information
Practice address
7000 AUSTIN ST, SUITE 200, FOREST HILLS, NY 11375-1022
(718) 762-7633
Mailing address
107 WARTBURG AVE, APT 46, COPIAGUE, NY 11726-2936
(631) 385-7780
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
11/09/2012
Last updated
01/11/2013
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