Jamie Lee Lewis, CB61402658

NPI #1336835131 in Kelso, Washington

Provider Information

NPI Number: 1336835131
Entity Type: Individual
Name: Jamie Lee Lewis, CB61402658
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Credential: CB61402658
Enumeration Date: Apr 14, 2023
Last Updated: Apr 14, 2023

Practice Location

Address: 1001 S 6TH AVE
City: Kelso
State: Washington
ZIP Code: 98626-2421
Phone: (260) 525-8346

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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