Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Larissa Lewis

Individual provider Behavior Technician · NPI 1942130174

Larissa Lewis is a Behavior Technician in Upper Marlboro, Maryland. Practices as a sole proprietor. Licensed in Maryland.

Licensed in
MD
In the registry since
2026

Practice location Address checks out

12613 Trumbull Dr
Upper Marlboro, MD 20772-5260
Phone: (301) 404-6113
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X (MD)

Record details

NPI number1942130174
Entity typeIndividual (Type 1)
GenderNot disclosed
Sole proprietorYes
NPI enumeratedMay 20, 2026
Last updated in NPPESMay 20, 2026
Certification dateMay 20, 2026
Mailing address12613 Trumbull Dr, Upper Marlboro, MD 20772-5260

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