Individual
ALYSHA NICOLE LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1215 INDEPENDENCE BLVD BLDG 6, ZACHARY, LA 70791-7390
(225) 286-1547
Mailing address
3232 COUNTRY PLAZA AVE, ZACHARY, LA 70791-8129
(225) 362-8623
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
LA
Other
Enumeration date
01/09/2025
Last updated
01/09/2025
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