Individual
MS. AMANDA ROSE LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
2013 MICCOSUKEE ROAD, TALLAHASSEE, FL 32308
(850) 391-6060
Mailing address
2013 MICCOSUKEE ROAD, TALLAHASSEE, FL 32308
(866) 610-0580
(866) 610-0580
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
08/13/2014
Last updated
08/13/2014
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