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NPI Code Detail

MEDICARE: SYMONE LEWIS

MEDICARE: SYMONE LEWIS
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
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1841823424
Entity Type Code : Individual
Provider Name (Legal Business Name) : SYMONE LEWIS
Provider Business Mailing Address
First Line : 4221 WILSHIRE BLVD STE 300A
Second Line :
City : LOS ANGELES
State : CA
Zip : 90010-3537
Country : US
Telephone Number : 888-842-8322
Fax Number : 323-866-1881
Provider Business Practice Location Address
First Line : 4144 WINDING WAY
Second Line :
City : SACRAMENTO
State : CA
Zip : 95841-4413
Country : US
Telephone Number : 916-737-1481
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/21/2020
Last Update Date : 01/29/2026

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Directions to “ SYMONE LEWIS ” Practice Location

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