Amanda Lewis

NPI #1265023949 in Northbrook, Illinois

Provider Information

NPI Number: 1265023949
Entity Type: Individual
Name: Amanda Lewis
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jan 27, 2021
Last Updated: Jan 27, 2021

Practice Location

Address: 5 REVERE DR STE 120
City: Northbrook
State: Illinois
ZIP Code: 60062-8005
Phone: (847) 807-6647

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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