Individual
LEVI C BORNTRAGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BT
Contact information
Practice address
3130 STATE LINE RD, NORTH BEND, OH 45052-9731
(812) 212-7395
Mailing address
140 SANDRA LYNN DR APT 2, AURORA, IN 47001-2100
(812) 212-7395
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
IN
Other
Enumeration date
04/20/2026
Last updated
04/20/2026
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