Individual
KATHERINE C LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
5400 BYRDHILL RD, HENRICO, VA 23228-5807
(804) 387-1531
Mailing address
4503 HANOVER AVE, RICHMOND, VA 23221-1821
(540) 505-2486
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-05-2590
VA
Other
Enumeration date
03/17/2009
Last updated
07/21/2022
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