Individual
COLIN DANIEL LEVESQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BA, BCABA
Contact information
Practice address
10175 FORTUNE PKWY UNIT 903, JACKSONVILLE, FL 32256-6755
(904) 538-0713
(904) 538-0714
Mailing address
1801 DON QUIXOTE CIR, JACKSONVILLE, FL 32250-2036
(321) 960-7925
(904) 538-0714
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0-08-2432
FL
Other
Enumeration date
09/30/2009
Last updated
09/30/2009
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