Individual
HAYLI LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2601 N WALTON BLVD, BENTONVILLE, AR 72712-4302
(479) 802-4798
Mailing address
300 INTERNATIONAL PARKWAY SUITE 200, LAKE MARY, FL 32746-3625
(866) 610-0580
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/14/2022
Last updated
12/14/2022
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