MEDICARE: ASHLEY PAIGE 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
1	106S00000X	Behavior Technician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1871019653
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASHLEY PAIGE LEWIS

Provider Business Mailing Address
First Line	:	111 MACKENAN DR
Second Line	:
City	:	CARY
State	:	NC
Zip	:	27511-7903
Country	:	US
Telephone Number	:	919-946-0153
Fax Number	:

Provider Business Practice Location Address
First Line	:	112 SKYGROVE DR
Second Line	:
City	:	HOLLY SPRINGS
State	:	NC
Zip	:	27540-9457
Country	:	US
Telephone Number	:	919-371-2848
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/14/2017
Last Update Date	:	08/14/2017

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Directions to “ ASHLEY PAIGE LEWIS ” Practice Location

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