Tkiah Lewis
NPI #1003570508 in Stockton, California
Provider Information
- NPI Number
- 1003570508
- Entity Type
- Individual
- Name
- Tkiah Lewis
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Behavior Technician
- Enumeration Date
- Oct 30, 2021
- Last Updated
- Nov 30, 2021
Practice Location
- Address
- 1811 GRAND CANAL BLVD
- City
- Stockton
- State
- California
- ZIP Code
- 95207-8107
- Phone
- (510) 584-6851
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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