Individual
ELENA SIMONE LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5940 S RAINBOW BLVD, LAS VEGAS, NV 89118-2506
(888) 531-8385
Mailing address
5940 S RAINBOW BLVD, LAS VEGAS, NV 89118-2506
(888) 531-8385
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/21/2024
Last updated
02/21/2024
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