Individual
CASANDRA LEVESQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6867 SOUTHPOINT DR N, JACKSONVILLE, FL 32216-8043
(904) 619-6071
Mailing address
6867 SOUTHPOINT DR N, JACKSONVILLE, FL 32216-8043
(904) 619-6071
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103K00000X
—
FL
Enumeration date
08/11/2014
Last updated
08/11/2014
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