Individual
AVIVA SHMUELA LEVINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1528 S WABASH AVE APT 610, CHICAGO, IL 60605-3088
(805) 823-3814
Mailing address
1528 S WABASH AVE APT 610, CHICAGO, IL 60605-3088
(805) 823-3814
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/18/2020
Last updated
02/18/2020
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