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Brenda Lewis, RBT

Behavior Technician in Ballwin, MO. Individual provider (NPI-1).

NPI number1255158317
StatusActive
Last updated in NPPESSep 20, 2024

Details

NPI
1255158317
Entity type
Individual (NPI-1)
Name
Brenda Lewis
Credential
RBT
Sex
Female
Sole proprietor
No
Enumeration date
Sep 20, 2024
Certification date
Sep 20, 2024
Last updated
Sep 20, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior TechnicianRBT-23-278483MOYes

Practice location

1218 Oak Borough Dr
Ballwin, MO 63021-8330

Phone 636-579-2250 · Fax 415-406-3316

Mailing address

1218 Oak Borough Dr
Ballwin, MO 63021-8330

Phone 636-579-2250 · Fax 415-406-3316

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