Individual provider · NPI-1

Katharine Janelle Field Lewis, BCBA

Behavior Analyst · Buford, GA

NPI number1720437718
StatusActive
Last updated in NPPESJan 30, 2020

Details

NPI
1720437718
Entity type
Individual (NPI-1)
Name
Katharine Janelle Field Lewis
Credential
BCBA
Sex
Female
Sole proprietor
No
Enumeration date
Jun 9, 2016
Certification date
Jan 30, 2020
Last updated
Jan 30, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103K00000X Behavior Analyst––Yes

Other names

  • Katharine Janelle Field (Former Name)

Practice location

3182 Brockenhurst Dr
Buford, GA 30519-7627

Phone 470-266-0594

Mailing address

3182 Brockenhurst Dr
Buford, GA 30519-7627

Phone 470-266-0594

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