Devante Dominique Lewis
Devante Dominique Lewis is a Behavior Analyst in Costa Mesa, California. Practices as a sole proprietor. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
3186 Airway Ave Ste ACosta Mesa, CA 92626-4650
Phone: (714) 881-0427
Fax: (714) 327-0673
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Specialties & licences
| Behavior Analyst (primary) | Taxonomy 103K00000X |
|---|
Record details
| NPI number | 1942959564 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | March 21, 2022 |
| Last updated in NPPES | March 21, 2022 |
| Certification date | March 21, 2022 |
| Mailing address | 3186 Airway Ave Ste A, Costa Mesa, CA 92626-4650 |
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