Shanadrien Lewis

NPI #1104538792 in Valdosta, Georgia

Provider Information

NPI Number: 1104538792
Entity Type: Individual
Name: Shanadrien Lewis
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Dec 15, 2022
Last Updated: Dec 15, 2022

Practice Location

Address: 3121 N OAK STREET EXT
City: Valdosta
State: Georgia
ZIP Code: 31602-1099
Phone: (800) 832-9419

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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