Individual
CODY-RYAN LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
323 EAST 5770 SOUTH, MURRAY, UT 84107
(801) 301-8004
Mailing address
323 EAST 5770 SOUTH, MURRAY, UT 84107
(801) 301-8004
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
2545005702
ZZ
1744R1102X
Research Study Specialist
—
—
Other
Enumeration date
09/04/2023
Last updated
09/04/2023
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