Individual
CANNESSA LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2151 PROFESSIONAL DR, ROSEVILLE, CA 95661-3761
(916) 771-0520
Mailing address
2151 PROFESSIONAL DR STE 100, ROSEVILLE, CA 95661-3761
(916) 771-0520
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
01/04/2019
Last updated
01/04/2019
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