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NPI Code Detail

MEDICARE: NICOLE LEVE RBT

MEDICARE:   NICOLE  LEVE  RBT
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 TechnicianRBT-18-64619FL

General Provider Information

NPI Number : 1023592557
Entity Type Code : Individual
Provider Name (Legal Business Name) : NICOLE LEVE RBT
Provider Business Mailing Address
First Line : 9696 RICHMOND CIR
Second Line :
City : BOCA RATON
State : FL
Zip : 33434-2329
Country : US
Telephone Number : 561-523-2011
Fax Number :
Provider Business Practice Location Address
First Line : 9696 RICHMOND CIR
Second Line :
City : BOCA RATON
State : FL
Zip : 33434-2329
Country : US
Telephone Number : 561-523-2011
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/20/2018
Last Update Date : 09/20/2018

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Directions to “ NICOLE LEVE RBT” Practice Location

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