Individual
CHRISTINE LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
4485 FORBES BLVD, LANHAM, MD 20706-4354
(814) 932-7650
(443) 458-7242
Mailing address
1064 EDGEWOOD DR, DUNCANSVILLE, PA 16635-7712
(814) 932-7650
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
LBA1379
MD
Other
Enumeration date
09/14/2022
Last updated
09/14/2022
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