Individual
SHANIYA LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
165 OLD CONYERS WAY, STOCKBRIDGE, GA 30281-2643
(470) 819-9944
Mailing address
7108 S KANNER HWY, STUART, FL 34997-7462
(855) 832-6727
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
06/01/2023
Last updated
06/01/2023
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