Michelle Ann Lewis

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

0133002111 Issued in VA

Practice address

35 Walpole St Ste 207
Stafford, VA 22554-6546

Phone

(540) 383-7133

NPI assigned

Jun 24, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Spectrum Autism Services, LLC

  • Behavior Analyst
  • Stafford, VA
  • NPI 1184149403
  NPD

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

{
    "created_epoch": "1561334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629936000000",
    "number": "1255992020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 WALPOLE ST",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225546546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 WALPOLE ST STE 207",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225546546",
            "telephone_number": "540-383-7133"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12 Monument Dr",
            "address_purpose": "LOCATION",
            "city": "Stafford",
            "state": "VA",
            "postal_code": "225548508",
            "country_code": "US",
            "telephone_number": "540-383-7133",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "814 SW Evangeline Trwy Ste 174",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "LA",
            "postal_code": "705018240",
            "country_code": "US",
            "telephone_number": "337-222-3707",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "MICHELLE",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-24",
        "last_updated": "2021-08-26",
        "certification_date": "2021-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "VA",
            "license": "0133002111",
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "LA",
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "LA",
            "license": "L-568",
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Lee, RBT
• Renee Leiby, PT, DPT
• Tomas Lengel
• Kelvina Leonard, LCSW
• Jerry Bennett Levy, OD
• Stone Austin Lewis
• Zannetta Ferguson Lewis
• Brandon M Lewko, MD
• Liberty Medical Transportation LLC
• Jayme Licht

• Behavior Analyst in Stafford, VA
• Providers in Stafford, VA by specialty
• Behavior Analyst in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2021; 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.