Individual
ASHLEY PAIGE LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
112 SKYGROVE DR, HOLLY SPRINGS, NC 27540-9457
(919) 371-2848
Mailing address
111 MACKENAN DR, CARY, NC 27511-7903
(919) 946-0153
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0364T-0365T
—
NC
Enumeration date
08/14/2017
Last updated
08/14/2017
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