Most Relevant Information
Provider Data
| NPI Number: | 1003645482 |
| Provider Name: | MADISON LEWIS |
| Entity Type: | Individual |
| Taxonomy Code: | 103K00000X |
| Specialty: | Behavior Analyst |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/01/2024 |
| Last Updated: | 08/01/2024 |
Provider Practice Location
6836 ISAACS ORCHARD RD
SPRINGDALE
AR
727626096
Practice Location Phone/Fax
| Phone: | 4799274100 |
| Fax: |
Provider Mailing Location
6836 ISAACS ORCHARD RD
SPRINGDALE
AR
727626096
Provider Mailing Phone/Fax
| Phone: | 4799274100 |
| Fax: |