Individual
BENJAMIN ALEXANDER LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3036 YALE ST, HOUSTON, TX 77018-8434
(281) 407-8124
Mailing address
3036 YALE ST, HOUSTON, TX 77018-8434
(281) 407-8124
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-187380
—
Other
Enumeration date
10/05/2021
Last updated
10/05/2021
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