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NPI Code Detail

MEDICARE: RASHONE LEWIS MS, BCBA

MEDICARE: RASHONE LEWIS MS, BCBA
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 Analyst1-25-86655GA

General Provider Information

NPI Number : 1467153213
Entity Type Code : Individual
Provider Name (Legal Business Name) : RASHONE LEWIS MS, BCBA
Provider Business Mailing Address
First Line : 3500 DEPAUW BLVD STE 3070
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46268-6135
Country : US
Telephone Number : 855-324-0885
Fax Number : 317-520-8200
Provider Business Practice Location Address
First Line : 9559 HIGHWAY 5 STE 601
Second Line :
City : DOUGLASVILLE
State : GA
Zip : 30135-1572
Country : US
Telephone Number : 470-632-5276
Fax Number : 317-520-8200
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/16/2023
Last Update Date : 01/09/2026

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