Kadija Amira Lewis, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

4182 Issued in TX

Practice address

419 Carson HL Ste 202
San Antonio, TX 78251-5500

Phone

(210) 634-1129

NPI assigned

Mar 5, 2021

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1614902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728864000000",
    "number": "1104411610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5002 WISEMAN BLVD APT 9307",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782513803",
            "telephone_number": "210-710-3821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 CARSON HL STE 202",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782515500",
            "telephone_number": "210-634-1129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "KADIJA",
        "middle_name": "AMIRA",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-05",
        "last_updated": "2024-10-14",
        "certification_date": "2024-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TX",
            "license": "4182",
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gary D Lewis, MD
• Haidee Vargas Lewis
• Jacob Lewis, DPT
• Jessica Styles Lewis, PH.D.
• Jill M Lewis
• Kameryn Lewis, PHARMD
• Kendyll Layne Lewis, DPT
• Leilani Danielle Lewis, RBT-22-239913
• Leslie Stark Lewis, M.S., SLP-INTERN
• Lori Lewis, LCSW

• Behavior Analyst in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Behavior Analyst in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.