Lisanna Star Lewis
Lisanna Star Lewis is a Behavior Technician in Gladwin, Michigan. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
1234 W Cedar Ave Ste BGladwin, MI 48624-1818
Phone: (989) 423-0971
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X |
|---|
Record details
| NPI number | 1700472412 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | December 16, 2020 |
| Last updated in NPPES | April 13, 2022 |
| Certification date | April 13, 2022 |
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