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NPI Code Detail

MEDICARE: LEWIS ABA - APPLIED BEHAVIOR ANALYSIS, PLLC

MEDICARE: LEWIS ABA - APPLIED BEHAVIOR ANALYSIS, PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior Analyst

General Provider Information

NPI Number : 1326913955
Entity Type Code : Organization
Provider Name (Legal Business Name) : LEWIS ABA - APPLIED BEHAVIOR ANALYSIS, PLLC
Provider Business Mailing Address
First Line : 61 4TH PL APT 3L
Second Line :
City : BROOKLYN
State : NY
Zip : 11231-4040
Country : US
Telephone Number : 908-477-1461
Fax Number :
Provider Business Practice Location Address
First Line : 61 4TH PL APT 3L
Second Line :
City : BROOKLYN
State : NY
Zip : 11231-4040
Country : US
Telephone Number : 908-477-1461
Fax Number :
Authorized Official
Title or Position : OWNER
Name : ALEX LEWIS
Credential : BCBA, LBA
Telephone Number : 908-477-1461
Provider Enumeration Date : 10/06/2025
Last Update Date : 10/06/2025

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Directions to “LEWIS ABA - APPLIED BEHAVIOR ANALYSIS, PLLC ” Practice Location

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