Individual
A'VAY LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2364 DEL ROSA AVE STE 150&C, SAN BERNARDINO, CA 92404-4405
(442) 327-9172
Mailing address
1924 TOPEKA WAY, COLTON, CA 92324-6301
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/05/2025
Last updated
08/05/2025
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