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NPI Code Detail

MEDICARE: VALERIA NICOLE LEVAN MA, BCBA, LBA

MEDICARE:   VALERIA NICOLE LEVAN  MA, BCBA, LBA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior Analyst4946TX

General Provider Information

NPI Number : 1770223950
Entity Type Code : Individual
Provider Name (Legal Business Name) : VALERIA NICOLE LEVAN MA, BCBA, LBA
Provider Business Mailing Address
First Line : 7194 TIMBER RIDGE DR
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78227-1741
Country : US
Telephone Number : 210-379-2349
Fax Number :
Provider Business Practice Location Address
First Line : 419 CARSON HL STE 202
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78251-5500
Country : US
Telephone Number : 855-782-7822
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/29/2022
Last Update Date : 03/29/2022

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Directions to “ VALERIA NICOLE LEVAN MA, BCBA, LBA” Practice Location

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