Christa A Lewis, BI, STAD

NPI #1215511639 in Twin Falls, Idaho

Provider Information

NPI Number
1215511639
Entity Type
Individual
Name
Christa A Lewis, BI, STAD
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Behavior Technician
Credential
BI, STAD
Enumeration Date
May 11, 2021
Last Updated
Aug 4, 2021

Practice Location

Address
808 GREENWOOD DR
State
Idaho
ZIP Code
83301-3327
Phone
(208) 421-7096

Specialties & Taxonomy Codes

Specialty
Behavior Technician

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