Individual
TIFFANY LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
381 E TAMARACK DR, HENDERSON, NV 89002-8202
(702) 606-0548
Mailing address
381 TAMARACK DRIVE, HENDERSON, NV 89002
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
02/27/2014
Last updated
02/27/2014
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