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NPI Code Detail

MEDICARE: LEVINS HERNANDEZ DEVELOPMENTAL CENTER LLC

MEDICARE: LEVINS HERNANDEZ DEVELOPMENTAL CENTER LLC
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 Analyst

General Provider Information

NPI Number : 1376475210
Entity Type Code : Organization
Provider Name (Legal Business Name) : LEVINS HERNANDEZ DEVELOPMENTAL CENTER LLC
Provider Business Mailing Address
First Line : 3594 FODDER DR
Second Line :
City : ROCKLEDGE
State : FL
Zip : 32955-6037
Country : US
Telephone Number : 334-707-3213
Fax Number :
Provider Business Practice Location Address
First Line : 453 KING ST
Second Line :
City : COCOA
State : FL
Zip : 32922-7621
Country : US
Telephone Number : 321-349-9379
Fax Number :
Authorized Official
Title or Position : OWNER
Name : MR. JOSHUA SILAS LEVINS
Credential : BCBA
Telephone Number : 334-707-3213
Provider Enumeration Date : 06/03/2026
Last Update Date : 06/03/2026

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