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

Mirra Lynn Lewis

Individual provider Behavior Technician · NPI 1457861197

Mirra Lynn Lewis is a Behavior Technician in Fair Oaks, California. Registered with an NPI since 2017.

In the registry since
2017

Practice location Address checks out

7542 Widgeon Way
Fair Oaks, CA 95628-5731
Phone: (916) 517-8783
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1457861197
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 9, 2017
Last updated in NPPESOctober 9, 2017

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