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Contact Information

ANTIONETTE LEWIS, RBT
2100 WESTSHORE DR STE 117
CUMMING, GA30041-9277
 Phone: 770-878-3175
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Behavior Analyst

103K00000X
 

Contractor

171W00000X
Indicates primary specialty

NPI Profile & details for ANTIONETTE LEWIS · (Female)

NPI Number 1801620125
Status Active
Credentials RBT
Entity Individual
Enumeration date 08/28/2024
Last updated 09/09/2024 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • GA License # RBT-22-221530
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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