Individual
JO LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10400 N BAEHR RD, MEQUON, WI 53092-4472
(833) 646-3222
Mailing address
224 W 35TH ST STE 500, NEW YORK, NY 10001-2538
(833) 646-3222
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/11/2022
Last updated
11/11/2022
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