Individual
KAYLA THERESA LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1320 BAUR BLVD, OLIVETTE, MO 63132-1903
(314) 528-9509
Mailing address
21600 OXNARD ST STE 1800, WOODLAND HILLS, CA 91367-7807
(818) 345-2345
(000) 000-0000
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
Y177038001
MO
Other
Enumeration date
04/26/2021
Last updated
04/26/2021
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