Individual
DAVID JACOB LEVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3 ASHWOOD LN, BROOKFIELD, CT 06804-3239
(203) 501-9131
Mailing address
3 ASHWOOD LN, BROOKFIELD, CT 06804-3239
(203) 501-9131
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT023-253870
CT
Other
Enumeration date
05/30/2023
Last updated
05/30/2023
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