Healthcare Provider Details
I. General information
NPI: 1801397518
Provider Name (Legal Business Name): HOPE LEWRIGHT
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 02/27/2018
Last Update Date: 02/27/2018
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6770 N WEST AVE STE 103
FRESNO CA
93711-1399
US
IV. Provider business mailing address
206 N JACKSON ST STE 202
GLENDALE CA
91206-4330
US
V. Phone/Fax
- Phone: 818-241-6780
- Fax: 818-241-6853
- Phone: 818-241-6780
- Fax: 818-241-6853
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 106S00000X |
| Taxonomy | Behavior Technician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: