Braxton Lewis, RBT

NPI #1932806791 in South Ogden, Utah

Provider Information

NPI Number: 1932806791
Entity Type: Individual
Name: Braxton Lewis, RBT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Credential: RBT
Enumeration Date: Feb 13, 2023
Last Updated: Feb 13, 2023

Practice Location

Address: 6033 FASHION POINT DR
City: South Ogden
State: Utah
ZIP Code: 84403-4847
Phone: (801) 663-4316

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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