Ebony Lewis, Associates
Behavior Technician in Petaluma, CA. Individual provider (NPI-1).
NPI number1871069401
StatusActive
Last updated in NPPESOct 22, 2018
Details
- NPI
- 1871069401
- Entity type
- Individual (NPI-1)
- Name
- Miss Ebony Lewis
- Credential
- Associates
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 22, 2018
- Last updated
- Oct 22, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
101 H St Ste LPetaluma, CA 94952-5100
Phone 866-206-2008
Mailing address
Po Box 5034Oakland, CA 94605-0034
Phone 510-575-8652
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