Individual
KIMBERLY LEVY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA, LBA
Contact information
Practice address
500 BI COUNTY BLVD, FARMINGDALE, NY 11735-3988
(631) 456-6724
Mailing address
20 SEMINOLE DR, COMMACK, NY 11725-4624
(631) 456-6724
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
002865-01
NY
Other
Enumeration date
12/07/2023
Last updated
10/22/2025
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