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NPI 1205655800

NPI 1205655800 : DAVID LEAVITT : HOUSTON, TX

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General NPI Number Information
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    NPI Number           |    1205655800
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    Entity Type          |    Individual 
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    Provider Name        |    DAVID LEAVITT
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    10/09/2024
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    Last Update Date     |    10/13/2025
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Provider Practice Location Address
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    Address Line         |    1050 N POST OAK RD STE 220 
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    City                 |    HOUSTON
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    State                |    TX
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    Zip                  |    77055-7233
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    Country              |    US
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    Telephone            |    184-427-2722
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    6914 BRISBANE CT STE 200 
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    City                 |    SUGAR LAND
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    State                |    TX
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    Zip                  |    77479-4924
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    Country              |    US
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    Telephone            |    818-241-6780
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    Fax                  |    888-588-2752
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    106S00000X
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    Taxonomy Name        |    Behavior Technician
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    License Number       |    RBT-24-337866
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    License Number State |    TX
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