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NPI Code Detail

MEDICARE: DANIEL LEVI

MEDICARE:   DANIEL  LEVI
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
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1003674516
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIEL LEVI
Provider Business Mailing Address
First Line : 76 WORTH AVE
Second Line :
City : HAMDEN
State : CT
Zip : 06518-3414
Country : US
Telephone Number : 203-589-2454
Fax Number :
Provider Business Practice Location Address
First Line : 76 WORTH AVE
Second Line :
City : HAMDEN
State : CT
Zip : 06518-3414
Country : US
Telephone Number : 203-589-2454
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/08/2024
Last Update Date : 03/08/2024

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Directions to “ DANIEL LEVI ” Practice Location

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