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NPI Code Detail

MEDICARE: ERICA MICHELLE LEVY

MEDICARE: ERICA MICHELLE LEVY
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 Analyst1-22-58041FL
2106S00000XBehavior Technician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1295229565
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERICA MICHELLE LEVY
Provider Business Mailing Address
First Line : 454 W PIPKIN RD
Second Line :
City : LAKELAND
State : FL
Zip : 33813-2545
Country : US
Telephone Number : 863-619-2809
Fax Number :
Provider Business Practice Location Address
First Line : 454 W PIPKIN RD
Second Line :
City : LAKELAND
State : FL
Zip : 33813-2545
Country : US
Telephone Number : 863-619-2809
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/19/2018
Last Update Date : 02/12/2025

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Directions to “ ERICA MICHELLE LEVY ” Practice Location

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