Individual
CHERRY LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1024 N ATLANTA ST, METAIRIE, LA 70003-5865
(504) 517-4282
Mailing address
1024 N ATLANTA ST, METAIRIE, LA 70003-5865
(504) 517-4282
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
L-254
LA
Other
Enumeration date
08/11/2016
Last updated
03/17/2018
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