Individual
ALISA LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7527 FOREST VALLEY LOOP, COLORADO SPGS, CO 80908-5647
(719) 659-8515
Mailing address
7527 FOREST VALLEY LOOP, COLORADO SPGS, CO 80908-5647
(719) 659-8515
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/04/2020
Last updated
11/04/2020
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