Olivia Jo Lewis

NPI #1316719958 in Evanston, Illinois

Provider Information

NPI Number: 1316719958
Entity Type: Individual
Name: Olivia Jo Lewis
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Oct 26, 2023
Last Updated: Oct 26, 2023

Practice Location

Address: 1638 MAPLE AVE
City: Evanston
State: Illinois
ZIP Code: 60201-3602
Phone: (877) 486-4140

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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