Healthcare Provider Details

I. General information

NPI: 1376475210
Provider Name (Legal Business Name): LEVINS HERNANDEZ DEVELOPMENTAL CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/03/2026
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

453 KING ST
COCOA FL
32922-7621
US

IV. Provider business mailing address

3594 FODDER DR
ROCKLEDGE FL
32955-6037
US

V. Phone/Fax

Practice location:
  • Phone: 321-349-9379
  • Fax:
Mailing address:
  • Phone: 334-707-3213
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: MR. JOSHUA SILAS LEVINS
Title or Position: OWNER
Credential: BCBA
Phone: 334-707-3213