| Provider / Organization | NPI | Date Certified |
|---|---|---|
| GABRIELLE ANDREA LEWIS-THOMAS | 1366945487 | 2024-11-11 |
Gabrielle Andrea Lewis-thomas is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1366945487. Registration indicates Gabrielle Andrea Lewis-thomas is a provider of services with a specialization in Behavioral Health & Social Service Providers, Behavior Technician (Behavior Technician, Behavioral Health & Social Service Providers) (Behavior Technician, )
| Entity Type | Individual |
| Provider Name | Gabrielle Andrea Lewis-thomas |
| Practice Office Address | 4490 POPPS FERRY RD APT 228 DIBERVILLE, MS US |
| Practice Office Telephone | 9163033257 |
| Mailing Address | 1485 GREEN RAVINE DR LINCOLN, CA 956488036 US |
| Business Telephone | 9163033257 |
| Code | Practice | License No State |
|---|---|---|
| 106S00000X PRIMARY | Behavioral Health & Social Service Providers Behavior Technician Behavior Technician Behavioral Health & Social Service Providers Behavior Technician |