Individual
AMANDA MICHELLE LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5830 US HIGHWAY 1, ROCKLEDGE, FL 32955-5761
(321) 609-9007
Mailing address
125 E NASA BLVD, MELBOURNE, FL 32901-1900
(321) 345-4232
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/28/2024
Last updated
02/18/2025
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